Telescoping osteotomy for pressure metatarsalgia.

@article{Helal1984TelescopingOF,
  title={Telescoping osteotomy for pressure metatarsalgia.},
  author={Basil Helal and Magdi E. Greiss},
  journal={The Journal of bone and joint surgery. British volume},
  year={1984},
  volume={66 2},
  pages={
          213-7
        }
}
  • B. Helal, M. Greiss
  • Published 1 March 1984
  • Medicine
  • The Journal of bone and joint surgery. British volume
A review is presented of 508 feet in 310 patients after telescoping osteotomy of the lesser metatarsals for metatarsalgia. The patients were predominantly female (80%), with a mean age of 55 years; the range of follow-up was 1 to 12 years. In 22% of the patients the metatarsalgia was associated with rheumatoid arthritis. Improvements in assessment and modifications in technique are reported and the management of complications is discussed. The results show that telescoping osteotomy for… 

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References

SHOWING 1-7 OF 7 REFERENCES
Metatarsal osteotomy for metatarsalgia.
  • B. Helal
  • Medicine
    The Journal of bone and joint surgery. British volume
  • 1975
An oblique osteotomy in the distal half of the metatarsal shaft is described for the treatment of metatarsalgia due to prolapse of one or more of the middle three metatarsal heads. Thirty-eight
The use of footprints in assessing the results of operations for hallux valgus. A comparison of Keller's operation and arthrodesis.
TLDR
The ability to bear weight on the big toe is related to the presence of metatarsalgia and excessive weight-bearing on the lesser metatarsal heads and complicaitons were seen more commonly after Keller's operation than after arthrodesis.
Armyfoot survey : an investigation offoot ailments in Canadian so/diers
  • Ottawa : National Research Council of Canada
  • 1947
Surgery ofihefoot. 2nd ed
  • St Louis : CV Mosby Co
  • 1965
Concepts et etudes sur la metatarsalgie et son traitement
  • Podo / ogie
  • 1973
Des osteotomies metatarsiennes dans /e traitement des troub/es statiques de /‘avant-pied
  • 1977
Fisiopatologia del antepie
  • Podo / ogie
  • 1962