Propulsive Metatarsalgia: a Comparative Study of Maceira’s Osteotomy with and without Fixation

P. R. Krishnaprasad, Gustavo Lucar-López, K. A. Guevara-Noriega, Y. Lakshmisha Rao, B. V. Murlimanju, A. Ballal, M. Ballester-Alomar

Research output: Contribution to journalArticlepeer-review


Background. Maceira’s triple cut modified Weil osteotomy is indicated in the manage-ment of propulsive metatarsalgia. In this surgical procedure, the osteotomy will be usually stabilized with fixation. Our study is aimed at comparing the effectiveness of Maceira’s triple cut modified Weil osteotomy stabilized with fixation and without fixation. Methods. A retrospective individual cohort study was conducted from the data retrieved from 44 feet included of 40 patients, presented with propulsive metatarsal-gia, who underwent “Maceira’s triple cut modification of Weil osteotomy”. In 29 feet, 57 osteotomies were performed without fixation, while in 15 feet, 56 osteotomies were performed along with the fixation. The mean follow-up period was 13.1 months and 12.4 months, respectively, in non-fixed and fixed groups. The patients were evaluated using AOFAS LIMS scale. Results. In fixation group, the pre-operative mean scores were 42.47 ± 12.72 and the post-operative mean score was 70.8 ± 25.14, where as in non-fixation group preoperative mean score was 43.79 ± 13.20 and post-operative mean score was 81.59 ± 14.19. In both the groups there was improvement in the mean scores, which was statistically significant. But when compared amongst the fixation and nonfixation of osteotomy groups, there was no difference that was statistically significant (p > 0.01). Conclusions. Maceira’s triple cut modification of Weil osteotomy with or without fixation yields equal and effective results in patients with propulsive (3rd rocker) metatarsalgia.

Original languageEnglish
Pages (from-to)24-34
Number of pages11
JournalMuscles, Ligaments and Tendons Journal
Issue number1
Publication statusPublished - 01-01-2022

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine


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