Medium-Long-Term Clinical and Radiographic Outcomes of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) for Central Primary Metatarsalgia: Do Maestro Criteria Have a Predictive Value in the Preoperative Planning for This Percutaneous Technique?
Carlo Biz,Marco Corradin,Wilfried Trepin Kuete Kanah,Miki Dalmau-Pastor,Miki Dalmau-Pastor,Alessandro Zornetta,Andrea Volpin,Pietro Ruggieri +7 more
TL;DR: Although Maestro criteria were useful to calculate the metatarsal bones to be shortened and a significant clinical improvement of all scores was achieved, the ideal harmonious morphotype was restored only in a few feet, showing that Maestro criterion did not have a predictive value in clinical outcomes of DMMO.
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Abstract: Background. The purpose of this prospective study was first to evaluate the safety and effectiveness of Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy (DMMO) in treating central metatarsalgia, identifying possible contraindications. The second objective was to verify the potential of DMMO to restore a harmonious forefoot morphotype according to Maestro criteria. Methods. A consecutive series of patients with metatarsalgia was consecutively enrolled and treated by DMMO. According to Maestro criteria, preoperative planning was carried out by both clinical and radiological assessment. Patient demographic data, AOFAS scores, 17-FFI, MOXFQ, SF-36, VAS, and complications were recorded. Maestro parameters, relative morphotypes, and bone callus formation were assessed. Statistical analysis was carried out (p < 0.05). Results. Ninety-three patients (93 feet) with a mean age of 62.4 (31-87) years were evaluated. At mean follow-up of 58.7 (36-96) months, all of the clinical scores improved significantly (p < 0.0001). Most of the osteotomies (76.3%) had healed by 3-month follow-up, while ideal harmonious morphotype was restored only in a few feet (3.2%). Clinical and radiological outcomes were not different based on principal demographic parameters. Long-term complications were recorded in 12 cases (12.9%). Conclusion. DMMO is a safe and effective method for the treatment of metatarsalgia. Although Maestro criteria were useful to calculate the metatarsal bones to be shortened and a significant clinical improvement of all scores was achieved, the ideal harmonious morphotype was restored only in a few feet. Hence, our data show that Maestro criteria did not have a predictive value in clinical outcomes of DMMO.
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Citations
Minimally Invasive Surgery: Osteotomies for Diabetic Foot Disease
Carlo Biz,Pietro Ruggieri +1 more
TL;DR: The main advantages of this method are minimal surgical scars and tissue damage, immediately postoperative weight bearing, absence of osteosynthesis and consequent potential infection of metal fixation, reduction of the previous high plantar pressures by the restoration of a harmonic balanced forefoot arch, and rapid ulcer healing.
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Minimally Invasive Distal Metatarsal Metaphyseal Osteotomy of the Lesser Toes: Clinical, Radiologic, and Pedobarographic Outcomes:
Elena Neunteufel,S. Krenn,Michel Chraim,Pascal Amann,Fabian Greiner,Andreas Kranzl,Peter Bock +6 more
TL;DR: The minimally invasive distal metatarsal metaphyseal osteotomy (DMMO) is a percutaneous operative technique with the aim to relieve the symptoms of metatarsalgia as mentioned in this paper.
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Minimally Invasive Metatarsal Osteotomies (MIMOs) for the Treatment of Plantar Diabetic Forefoot Ulcers (PDFUs): A Systematic Review and Meta-Analysis with Meta-Regressions
Carlo Biz,Elisa Belluzzi,Alberto Crimì,Nicola Luigi Bragazzi,Pietro Nicoletti,Fabiana Mori,Pietro Ruggieri +6 more
TL;DR: Evaluated for the first time the effectiveness of minimally invasive metatarsal osteotomies (MIMOs) in treating PDFUs and reducing their recurrence rate, supporting that MIMOs represent an effective surgical approach to treat PDFUs.
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Influence of Foot Type on the Clinical Outcome of Minimally Invasive Surgery for Metatarsalgia. A Prospective Pilot Study.
Carmen Naranjo-Ruiz,Alfonso Martínez-Nova,María de los Ángeles Canel-Pérez,Miguel Lopez-Vigil,Javier Ferrer-Torregrosa,Carlos Barrios +5 more
TL;DR: In this article, a prospective pilot study was conducted to determine whether the foot type (pronate, neutral, or supinate) conditions the post-operative mid-term functional outcome.
The Controversial Definition of Normal Toe Alignment
TL;DR: In this article , the authors evaluated the metatarsophalangeal angles (MTPAs) 2-5 in the dorsoplantar (DP) view with which to objectively evaluate lesser toe alignment.
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