Lesser metatarsal osteotomy

A lesser metatarsal osteotomy, often called a Weil osteotomy, repositions or shortens a metatarsal bone to reduce painful pressure beneath the ball of the foot.

Lesser metatarsal osteotomy overview

A lesser metatarsal osteotomy, often called a Weil osteotomy, repositions or shortens a metatarsal bone to reduce painful pressure beneath the ball of the foot.

How is surgery carried out?

This is usually day-case surgery under anaesthetic. Through a small incision, the surgeon cuts and repositions the affected metatarsal and secures it with a small screw. More than one bone can be treated where needed.

 

Are there any risks?

All surgery carries some risk. Possible complications include:

  • Infection or wound problems
  • Blood clots
  • Nerve irritation or numbness
  • Stiffness or swelling
  • The bone healing slowly or in an unwanted position
  • Persistent pain or transfer of pressure to another area

Your surgeon will explain how these risks apply to you and the steps taken to reduce them.

 

Contact our appointments team
Lesser metatarsal osteotomy overview

Recovery from lesser metatarsal osteotomy

First 2 weeks

Phase 1

Keep the foot elevated, protect the dressings and walk only as advised in the hospital shoe.

2 to 6 weeks

Phase 2

Bandages are usually removed at the two-week review and toe stretches begin. Continue using the protective shoe and follow your weight-bearing guidance.

Six to 12 weeks

Phase 3

An X-ray is commonly arranged at six weeks before returning towards your own shoes. Activity and strength then build gradually towards the final review.

Working with foot and ankle professionals and teams

Our foot and ankle specialists support professional athletes, sports teams, active individuals and people whose work places high demands on their feet and ankles. Working closely with radiologists, physiotherapists and the wider multidisciplinary team, they provide coordinated care from diagnosis through to rehabilitation, helping each person return safely to sport, work or everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or recovery goals.

 

Working with foot and ankle professionals and teams

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

Lesser metatarsal osteotomy FAQs

 

 

You can return to driving when you are no longer using medication that affects alertness, can control the vehicle safely and can perform an emergency stop comfortably. Check with your surgeon and motor insurer before you drive.

 

This depends on your operation, recovery and type of work. Desk-based work may be possible sooner than a role involving prolonged standing, walking, lifting or driving. Your care team will give you personalised advice.

 

Return gradually and only when your surgeon or physiotherapist is satisfied with your healing, movement, strength and control. The type of sport and the procedure you had will shape the timing.

 

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