Sammendrag
We reviewed the results of treatment of 27 feet in 21 patients with pressure metatarsalgia treated with a distal oblique metatarsal osteotomy performed according to the technique of Helal. The median age at the time of operation was 52 (30-75) year, with a median follow-up of 6 years and 9 months (31/2-101/2 years). The over-all results were good in 12 feet, fair in two, and poor in 13 of the feet. Patients experienced some degree of improvement in 21 feet, and for 20 feet the patients stated they would have agreed to surgery if they had known the outcome in advance. There were non-unions in three feet, transfer lesions in nine, and recurrent lesions in seven. We can not confirm the good results after Helal's osteotomy reported by some other authors. Patients should be fully informed of the uncertain outcome before submitting to surgery for metatarsalgia.
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