The new approach and results of surgical treatment of overload metatarsalgia with elastic feet deformation

The article presents the results of experimental clinical studies on the application of minimally invasive surgical treatment of overload metatarsalgia with elastic deformation of the feet in comparison with conventional methods.The objective of the study was to estimate effectiveness of using a combined method involving a triple-Weil-osteotomy (Maceira osteotomy) and restoration of the plantar plate in clinical practice in the surgical treatment of overloading metatarsalgia.The object of the randomized prospective clinical study was 60 patients (n = 60), diagnosed with overloading metatarsalgia.When analyzing the results of surgical treatment, it was revealed that the patients undergoing surgery underwent significant restoration of the biomechanical properties of the foot and regression of the pain syndrome in the group where the new combined operative treatment of overloading metatarsalgia was used compared to the group where operative treatment was directed only to osteotomy of the metatarsal bones.