Wiel Osteotomy

A Weil osteotomy is a precise surgical procedure designed to relieve pain and pressure beneath the ball of the foot by shortening and repositioning one of the metatarsal bones. When a metatarsal is excessively long or overloaded, it can cause chronic forefoot pain, inflammation, plantar plate injury, hammertoe formation, or the sensation of “walking on a pebble.” By subtly adjusting the length and position of the bone, a Weil osteotomy restores more natural weight distribution and reduces strain on the soft tissues that support the toes.

This procedure is often recommended for patients with metatarsalgia, plantar plate tears, hammertoes, plantar-flexed metatarsals, or forefoot deformities that have not responded to conservative care. Because even small imbalances in metatarsal length can create significant discomfort, a Weil osteotomy provides a targeted and elegant solution to restore harmony across the forefoot.

At New Orleans Podiatry, Dr. Lang performs the Weil osteotomy with meticulous attention to biomechanical alignment and long-term function. The procedure allows the metatarsal head to glide into a more anatomically appropriate position, easing pressure, rebalancing the joint, and protecting surrounding structures such as the plantar plate and joint capsule. When appropriate, minimally invasive techniques are used to minimize scarring and shorten recovery time.

To enhance healing and optimize tissue restoration, PRP regenerative therapy using the Arthrex Angel® System may be incorporated. The concentrated platelet and growth-factor infusion supports bone remodeling, reduces postoperative inflammation, and strengthens the surrounding soft tissues—providing a biologically enriched environment for a more robust and efficient recovery.

For patients with reduced natural cushioning beneath the metatarsal heads, Leneva® Fat Pad Restoration can also be added to replenish lost support and improve long-term comfort.

After surgery, patients follow a structured recovery plan to ensure protection of the repair as normal function gradually returns. Most individuals experience a significant reduction in forefoot pain, improved toe mechanics, and restored confidence with every step.

A Weil osteotomy not only relieves pressure—it rebalances the architecture of the forefoot, creating a more stable, comfortable, and beautifully aligned foundation for years to come.