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Corrections of Second MTP Joint Instability Using a Weil Osteotomy and Dorsal Approach Plantar Plate Repair: A New Technique

Weil, Lowell Jr DPM, MBA, FACFAS*; Sung, Wenjay DPM*; Weil, Lowell Scott Sr DPM, FACFAS; Glover, Jason DPM, AACFAS

Techniques in Foot & Ankle Surgery: March 2011 - Volume 10 - Issue 1 - p 33–39
doi: 10.1097/BTF.0b013e31820b4b3c

Second metatarsophalangeal joint instability is a challenging disorder for the foot and ankle surgeon. Abnormal metatarsal length parabola and retrograde pressure from a contracted hammertoe deformity are often cited as etiologic factors in the development of this condition. The authors believe that disruption to the plantar plate is common and should be considered for repair in conjunction with the hammertoe and metatarsal deformity. We have developed a new technique for an anatomic primary plantar plate repair using the surgical approach of a Weil metatarsal osteotomy. As the metatarsal osteotomy is performed, the plantar plate tear can be directly visualized, repaired, and anchored into the base of the proximal phalanx using nonabsorbable suture.

*Foot and Ankle Reconstruction and Research

; †Weil Foot and Ankle Institute, Des Plaines, IL

Rutherford Orthopedics, Henry Norris, Rutherfordton NC

Financial Disclosures: The authors note no conflict of interest with regard to this study.

Address correspondence and reprint requests to Wenjay Sung, DPM, Weil Foot and Ankle Institute, 1455 E. Golf Road, Des Plaines, IL 60016. e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.