{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T16:00:31Z","timestamp":1772035231899,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T00:00:00Z","timestamp":1542240000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2018,11,15]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. 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.<jats:italic> Methods<\/jats:italic>. 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 (<jats:italic>p <\/jats:italic>&lt; 0.05).<jats:italic> Results<\/jats:italic>. 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 (<jats:italic>p<\/jats:italic> &lt; 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%).<jats:italic> Conclusion<\/jats:italic>. 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.<\/jats:p>","DOI":"10.1155\/2018\/1947024","type":"journal-article","created":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T18:36:11Z","timestamp":1542306971000},"page":"1-12","source":"Crossref","is-referenced-by-count":21,"title":["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?"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8517-0057","authenticated-orcid":true,"given":"Carlo","family":"Biz","sequence":"first","affiliation":[{"name":"Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Via Giustiniani 2, Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Corradin","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Via Giustiniani 2, Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wilfried Trepin","family":"Kuete Kanah","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Via Giustiniani 2, Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miki","family":"Dalmau-Pastor","sequence":"additional","affiliation":[{"name":"Human Anatomy and Embryology Unit, Experimental Pathology and Therapeutics Department, University of Barcelona, Barcelona, Spain"},{"name":"Health Sciences Faculty of Manresa, University of Vic-Central University of Catalunya, Vic, Spain"},{"name":"GRECMIP: Groupe de Recherche et d\u2019Etude en Chirurgie Mini-Invasive du Pied, Merignac, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Zornetta","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Via Giustiniani 2, Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Volpin","sequence":"additional","affiliation":[{"name":"Department of Trauma & Orthopaedic Surgery, Royal Derby Hospital NHS Foundation Trust, Uttoxeter Road, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pietro","family":"Ruggieri","sequence":"additional","affiliation":[{"name":"Orthopaedic Clinic, Department of Surgery, Oncology and Gastroenterology DiSCOG, University of Padua, Via Giustiniani 2, Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300508"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201008000-00004"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0871"},{"key":"4","first-page":"359","volume-title":"Evaluation and treatment of metatarsalgia and keratotic disorders","year":"2000"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2013.10.003"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-8422(03)00037-5"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2011.08.007"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2004.10.003"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(03)00148-7"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.06.020"},{"issue":"5","key":"11","first-page":"S110","volume":"89","year":"2013","journal-title":"Revue de Chirurgie Orthop\u00e9dique et R\u00e9paratrice de l Appareil Moteur (REV CHIR ORTHOP)"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1054\/cuor.2002.0269"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/S1083-7515(03)00108-6"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716634792"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0355"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715598601"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2011.07.003"},{"issue":"2","key":"18","first-page":"139","volume":"67","year":"2001","journal-title":"Acta Orthop\u00e6dica Belgica"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2016.04.003"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0000000000000093"},{"key":"21","year":"2009"},{"key":"22","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1024\/0040-5930.61.7.417","volume":"61","year":"2004","journal-title":"Therapeutische Umschau"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2010.02.001"},{"key":"24","volume":"94","year":"2012","journal-title":"Journal Of Bone And Joint Surgery-British"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jotr.2012.04.004"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1177\/1602400315"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0142"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0884"},{"issue":"1","key":"30","volume":"11","year":"2016","journal-title":"Journal of Orthopaedic Surgery and Research"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2010.04.003"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1177\/1938640017750251"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2014.08.008"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717735640"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-015-0245-1"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714543647"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(91)90220-4"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2015.05.014"},{"key":"41","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300508"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/1947024.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/1947024.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/1947024.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T18:36:13Z","timestamp":1542306973000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2018\/1947024\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11,15]]},"references-count":39,"alternative-id":["1947024","1947024"],"URL":"https:\/\/doi.org\/10.1155\/2018\/1947024","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,11,15]]}}}