Percutaneous correction of second toe proximal deformity: Proximal interphalangeal release, flexor digitorum brevis tenotomy and proximal phalanx osteotomy

Orthopaedics & Traumatology, Surgery & Research : OTSR
S FreyB Piclet-Legré

Abstract

We report the results of a percutaneous technique to correct a proximal plantar flexion deformity of the second toe that combines several procedures: tenotomy of the Flexor Digitorum Brevis, plantar capsulotomy for release of the proximal interphalangeal joint and proximal phalangeal osteotomy. The goal of these procedures is to improve anatomical correction and preserve articular range of motion. From 2009 to 2011, 54 patients, mean age 64.4 years old (43-81) underwent surgery for a proximal deformity of the second toe. Associated tenotomy of the extensor digitorum longus and brevis was performed in the presence of an extension deformity of the metatarsophalangeal joint (24 cases). After a mean follow-up of 30.7 ± 8.9 months, the rate of satisfaction and morphological correction was high (89.5% in both cases), as well as the number of flexible toes (88%). Active plantar flexion was preserved in 86% of the cases. This seems to be an effective technique to correct proximal plantar flexion deformity of the second toe, while preserving active plantar flexion.

References

Sep 1, 1995·Foot & Ankle International·D E Lehman, R W Smith
Oct 17, 2002·Foot and Ankle Clinics·William H B Edwards, Andrew D Beischer
May 4, 2007·Foot & Ankle International·Matison L Boyer, James K DeOrio
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Jan 5, 2008·Foot & Ankle International·Joost C M SchrierCees C P M Verheyen
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Feb 19, 2009·International Orthopaedics·Romain DebargeJean Luc Besse
Sep 24, 2009·The Orthopedic Clinics of North America·Thomas BauerOlivier Laffenétre
Oct 25, 2012·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·C ErrichielloE Parino

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Citations

Sep 13, 2019·Journal of Orthopaedic Surgery and Research·Eduardo Nieto-GarcíaCarlos Barrios
Mar 9, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Paulo CarvalhoOlivier Laffenêtre

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