Distal Metatarsal Metaphyseal Osteotomy (DMMO) for lesser toe metatarsalgia: a case series of 195 osteotomies
Objective: The aim of the study was to radiographically evaluate the result of this minimally invasive technique for the surgical treatment of metatarsalgia. Methods: Radiographic images of 195 osteotomies in 48 patients (65 feet) who were exclusively submitted to the Distal Metatalsal Metaphyseal...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2022-08-01
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| Series: | Journal of the Foot & Ankle |
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| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1639 |
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| author | Gabriel Ferraz Ferreira Hussein Nasser Fares Vinícius Oliveira Gustavo Araujo Nunes Augusto César Bravin Miguel Viana Pereira Filho |
| author_facet | Gabriel Ferraz Ferreira Hussein Nasser Fares Vinícius Oliveira Gustavo Araujo Nunes Augusto César Bravin Miguel Viana Pereira Filho |
| author_sort | Gabriel Ferraz Ferreira |
| collection | DOAJ |
| description |
Objective: The aim of the study was to radiographically evaluate the result of this minimally invasive technique for the surgical treatment of metatarsalgia. Methods: Radiographic images of 195 osteotomies in 48 patients (65 feet) who were exclusively submitted to the Distal Metatalsal Metaphyseal Osteotomy (DMMO) technique in the central rays (second, third, and fourth metatarsals) with a minimum follow-up of six months were analyzed. Bone healing, metatarsal shortening, and bone healing positioning (central, lateral, or medial) were evaluated. All statistical analysis was performed using the R software, and Wilcoxon statistical tests and Student’s t-test paired for continuous variables were used. Results: The mean length of the second metatarsal reduced 7.0mm (p<0.001), the third 6.8mm (p<0.001), and the fourth 6.6mm (p<0.001). In only one case, there was no bone consolidation (second metatarsal). Most osteotomies were consolidated in a central position of the distal fragment. Conclusion: DMMO showed a high rate of bone healing (99.5%), metatarsal shortening, and consolidation in the central position of the distal fragment when performed in the surgical treatment of metatarsalgia. Level of Evidence IV; Case Series.
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| first_indexed | 2024-04-11T07:07:43Z |
| format | Article |
| id | doaj.art-5c6a30f8012d43b68b09350d6641b0b1 |
| institution | Directory Open Access Journal |
| issn | 2675-2980 |
| language | English |
| last_indexed | 2024-04-11T07:07:43Z |
| publishDate | 2022-08-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj.art-5c6a30f8012d43b68b09350d6641b0b12022-12-22T04:38:17ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802022-08-01162Distal Metatarsal Metaphyseal Osteotomy (DMMO) for lesser toe metatarsalgia: a case series of 195 osteotomiesGabriel Ferraz Ferreira0Hussein Nasser Fares1Vinícius Oliveira2Gustavo Araujo Nunes3Augusto César Bravin4Miguel Viana Pereira Filho5Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, SP, Brazil.Department of Orthopaedics and Traumatology, Prevent Senior, São Paulo, SP, Brazil.Department of Orthopaedics and Traumatology, Prevent Senior, São Paulo, SP, Brazil.MIFAS by GRECMIP (Minimally Invasive Foot and Ankle Society), Merignac, France.Orthopaedics and Traumatology Unit, Hospital do Coração (HCOR), São Paulo, SP, Brazil.Foot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, SP, Brazil. Objective: The aim of the study was to radiographically evaluate the result of this minimally invasive technique for the surgical treatment of metatarsalgia. Methods: Radiographic images of 195 osteotomies in 48 patients (65 feet) who were exclusively submitted to the Distal Metatalsal Metaphyseal Osteotomy (DMMO) technique in the central rays (second, third, and fourth metatarsals) with a minimum follow-up of six months were analyzed. Bone healing, metatarsal shortening, and bone healing positioning (central, lateral, or medial) were evaluated. All statistical analysis was performed using the R software, and Wilcoxon statistical tests and Student’s t-test paired for continuous variables were used. Results: The mean length of the second metatarsal reduced 7.0mm (p<0.001), the third 6.8mm (p<0.001), and the fourth 6.6mm (p<0.001). In only one case, there was no bone consolidation (second metatarsal). Most osteotomies were consolidated in a central position of the distal fragment. Conclusion: DMMO showed a high rate of bone healing (99.5%), metatarsal shortening, and consolidation in the central position of the distal fragment when performed in the surgical treatment of metatarsalgia. Level of Evidence IV; Case Series. https://jfootankle.com/JournalFootAnkle/article/view/1639Forefoot, human/injuriesMetatarsalgiaMetatarsal bonesMinimally invasive surgical proceduresOsteotomy |
| spellingShingle | Gabriel Ferraz Ferreira Hussein Nasser Fares Vinícius Oliveira Gustavo Araujo Nunes Augusto César Bravin Miguel Viana Pereira Filho Distal Metatarsal Metaphyseal Osteotomy (DMMO) for lesser toe metatarsalgia: a case series of 195 osteotomies Journal of the Foot & Ankle Forefoot, human/injuries Metatarsalgia Metatarsal bones Minimally invasive surgical procedures Osteotomy |
| title | Distal Metatarsal Metaphyseal Osteotomy (DMMO) for lesser toe metatarsalgia: a case series of 195 osteotomies |
| title_full | Distal Metatarsal Metaphyseal Osteotomy (DMMO) for lesser toe metatarsalgia: a case series of 195 osteotomies |
| title_fullStr | Distal Metatarsal Metaphyseal Osteotomy (DMMO) for lesser toe metatarsalgia: a case series of 195 osteotomies |
| title_full_unstemmed | Distal Metatarsal Metaphyseal Osteotomy (DMMO) for lesser toe metatarsalgia: a case series of 195 osteotomies |
| title_short | Distal Metatarsal Metaphyseal Osteotomy (DMMO) for lesser toe metatarsalgia: a case series of 195 osteotomies |
| title_sort | distal metatarsal metaphyseal osteotomy dmmo for lesser toe metatarsalgia a case series of 195 osteotomies |
| topic | Forefoot, human/injuries Metatarsalgia Metatarsal bones Minimally invasive surgical procedures Osteotomy |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1639 |
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