Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Apr 10;13(8):2180.
doi: 10.3390/jcm13082180.

Impact of Minimally Invasive Intra-Capsular Metatarsal Osteotomy on Plantar Pressure Decrease: A Cross-Sectional Study

Carlos Fernández-Vizcaino  1 , Carmen Naranjo-Ruiz  1 , Nadia Fernández-Ehrling  1 , Sergio García-Vicente  2 , Eduardo Nieto-García  1 , Javier Ferrer-Torregrosa  1
Affiliations

Impact of Minimally Invasive Intra-Capsular Metatarsal Osteotomy on Plantar Pressure Decrease: A Cross-Sectional Study

Carlos Fernández-Vizcaino et al. J Clin Med. .

Abstract

Background: Metatarsalgia is a common pathology that is initially treated conservatively, but failure to do so requires surgery, such as the minimally invasive distal metatarsal osteotomy (DICMO). Methods: In this prospective study of 65 patients with primary metatarsalgia who underwent DICMO, plantar pressures, American Orthopaedic Foot and Ankle Society MetaTarsoPhalangeal-InterPhalangeal scale (AOFAS-MTP-IP) and Visual Analog Scale (VAS) were evaluated pre-operatively and post-operatively and there was a subgroup in which an inclinometer was used to observe the importance of the inclination of the osteotomy. Results: The results show a significant reduction in plantar pressures after DICMO surgery without overloading the adjacent radii, especially in the subgroup with an inclinometer to guide the osteotomy. The AOFAS-MTP-IP scale evidenced a marked improvement in metatarsal function and alignment with scores close to normal. The VAS scale showed a substantial decrease in pain after DICMO osteotomy. Conclusions: DICMO, with an inclinometer for a 45° osteotomy, proved to be a safe and effective procedure for primary metatarsalgia, although further comparative studies are needed to confirm its superiority.

Keywords: DICMO; inclinometer; metatarsalgia; minimally invasive; osteotomy; plantar pressures.

PubMed Disclaimer

Conflict of interest statement

None of the authors had any financial, personal, or professional conflicts of interest in relation to the results of this study.

Figures

Figure 1
Figure 1
Flow diagram of the selection process and analysis of the participants included in the present study.
Figure 2
Figure 2
Metatarsal surgery (DICMO) (A) Motor inclination (B) Dorsoplantar Fluoroscopy 2nd and 3rd metatarsal (C) Oblique Fluoroscopy 3rd metatarsal.
Figure 3
Figure 3
A goniometer incorporated to the surgical micromotor sends the data to a mobile phone via Bluetooth.
Figure 4
Figure 4
A Static plantar pressure analysis using Medicapteurs® S-Plate (Balma, France).
Figure 5
Figure 5
Decrease in plantar pressures in each of the groups with and without goniometer. (A) Without goniometer, (B) With goniometer.
See this image and copyright information in PMC

References

    1. Vandeputte G., Dereymaeker G., Steenwerckx A., Peeraer L. The Weil Osteotomy of the Lesser Metatarsals: A Clinical and Pedobarogaphic Follow-up Study. Foot Ankle Int. 2000;21:370–374. doi: 10.1177/107110070002100502. - DOI - PubMed
    1. Sharma D.K., Roy N., Shenolikar A. Weil Osteotomy of Lesser Metatarsals for Metatarsalgia: A Clinical and Radiological Follow-Up. Foot. 2005;15:202–205. doi: 10.1016/j.foot.2005.07.006. - DOI
    1. Redfern D.J., Vernois J. Percutaneous Surgery for Metatarsalgia and the Lesser Toes. Foot Ankle Clin. 2016;21:527–550. doi: 10.1016/j.fcl.2016.04.003. - DOI - PubMed
    1. Thomas M., Jordan M. Minimally Invasive Correction of Lesser Toe Deformities and Treatment of Metatarsalgia. Oper. Orthop. Traumatol. 2018;30:171–183. doi: 10.1007/s00064-018-0548-6. - DOI - PubMed
    1. Bauer T. Percutaneous Forefoot Surgery. Orthop. Traumatol. Surg. Res. 2014;100:S191–S204. doi: 10.1016/j.otsr.2013.06.017. - DOI - PubMed

LinkOut - more resources