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Yes.
Although the Weil osteotomy provides an excellent surgical option for primary central ray pathologies, this author says it is not appropriate for most central metatarsal pathologies due to biomechanical factors and it is prone to complications.
By Patrick A. DeHeer, DPM, FACFAS
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NO
This author cites the advantages of the Weil metatarsal osteotomy for addressing metatarsal overload, offers key intraoperative pearls and provides insights on how to minimize potential complications.
I was just doing some searching on the Weil osteotomy and found this thread! (I missed it). But, I also found this:
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The Weil osteotomy (cutting of bone) was developed by LS Weil to treat “static disorders” of the lesser toes. The term “static disorder” is perplexing since the forefoot is in all respects a dynamic structure. The purpose of the procedure is to shorten a metatarsal in the management of pain in the sole of the foot, “metatarsalgia”. The rational escapes me.
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The reality is that there is no rationale for this procedure. If it is of perceived to be beneficial, then it is purely by chance, and the procedure can be regarded as a “noxious placebo
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I would welcome correspondence from those who perform Weil’s osteotomy justifying its use
Is the Weil Osteotomy Overused?
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