{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T04:50:14Z","timestamp":1771563014140,"version":"3.50.1"},"reference-count":47,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Metatarsalgia is a common pathology that is initially treated conservatively, but failure to do so requires surgery, such as the minimally invasive distal metatarsal osteotomy (DICMO). Methods: In this prospective study of 65 patients with primary metatarsalgia who underwent DICMO, plantar pressures, American Orthopaedic Foot and Ankle Society MetaTarsoPhalangeal-InterPhalangeal scale (AOFAS-MTP-IP) and Visual Analog Scale (VAS) were evaluated pre-operatively and post-operatively and there was a subgroup in which an inclinometer was used to observe the importance of the inclination of the osteotomy. Results: The results show a significant reduction in plantar pressures after DICMO surgery without overloading the adjacent radii, especially in the subgroup with an inclinometer to guide the osteotomy. The AOFAS-MTP-IP scale evidenced a marked improvement in metatarsal function and alignment with scores close to normal. The VAS scale showed a substantial decrease in pain after DICMO osteotomy. Conclusions: DICMO, with an inclinometer for a 45\u00b0 osteotomy, proved to be a safe and effective procedure for primary metatarsalgia, although further comparative studies are needed to confirm its superiority.<\/jats:p>","DOI":"10.3390\/jcm13082180","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T06:07:46Z","timestamp":1712729266000},"page":"2180","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Impact of Minimally Invasive Intra-Capsular Metatarsal Osteotomy on Plantar Pressure Decrease: A Cross-Sectional Study"],"prefix":"10.3390","volume":"13","author":[{"given":"Carlos","family":"Fern\u00e1ndez-Vizcaino","sequence":"first","affiliation":[{"name":"Podiatry Department, Faculty of Medicine and Health Sciences, Valencia Catholic University \u201cSan Vicente M\u00e1rtir\u201d, 46001 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1000-4908","authenticated-orcid":false,"given":"Carmen","family":"Naranjo-Ruiz","sequence":"additional","affiliation":[{"name":"Podiatry Department, Faculty of Medicine and Health Sciences, Valencia Catholic University \u201cSan Vicente M\u00e1rtir\u201d, 46001 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Fern\u00e1ndez-Ehrling","sequence":"additional","affiliation":[{"name":"Podiatry Department, Faculty of Medicine and Health Sciences, Valencia Catholic University \u201cSan Vicente M\u00e1rtir\u201d, 46001 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Garc\u00eda-Vicente","sequence":"additional","affiliation":[{"name":"Admission and Clinical Documentation Unit, Sagunto Hospital, Generalitat Valenciana, Universidad Europea, 46001 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7321-3707","authenticated-orcid":false,"given":"Eduardo","family":"Nieto-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Podiatry Department, Faculty of Medicine and Health Sciences, Valencia Catholic University \u201cSan Vicente M\u00e1rtir\u201d, 46001 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4617-7659","authenticated-orcid":false,"given":"Javier","family":"Ferrer-Torregrosa","sequence":"additional","affiliation":[{"name":"Podiatry Department, Faculty of Medicine and Health Sciences, Valencia Catholic University \u201cSan Vicente M\u00e1rtir\u201d, 46001 Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1177\/107110070002100502","article-title":"The Weil Osteotomy of the Lesser Metatarsals: A Clinical and Pedobarogaphic Follow-up Study","volume":"21","author":"Vandeputte","year":"2000","journal-title":"Foot Ankle Int."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.foot.2005.07.006","article-title":"Weil Osteotomy of Lesser Metatarsals for Metatarsalgia: A Clinical and Radiological Follow-Up","volume":"15","author":"Sharma","year":"2005","journal-title":"Foot"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.fcl.2016.04.003","article-title":"Percutaneous Surgery for Metatarsalgia and the Lesser Toes","volume":"21","author":"Redfern","year":"2016","journal-title":"Foot Ankle Clin."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s00064-018-0548-6","article-title":"Minimally Invasive Correction of Lesser Toe Deformities and Treatment of Metatarsalgia","volume":"30","author":"Thomas","year":"2018","journal-title":"Oper. 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