Correction of Hammer Toe Deformity of Lateral Toes With Subtraction Osteotomy of the Proximal Phalanx Neck

Ceccarini, Paolo; Ceccarini, Alfredo; Rinonapoli, Giuseppe; Caraffa, Auro

doi:10.1053/j.jfas.2014.11.013

Cited by 10 publications

(6 citation statements)

References 16 publications

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“…When symptoms are present, tissues such as ligaments, capsules, joint structures, and tendons may already have been irreversibly damaged, and ankle pain or deformities may result [9]. Various operative methods have been developed to address the underlying issues when symptoms are present [7]. Numerous surgical techniques have been described, and each has its advantages and disadvantages.…”

Section: Discussionmentioning

confidence: 99%

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An effective aesthetic toe-shortening procedure

Jung

Kim

Lee

et al. 2023

Arch Aesthetic Plast Surg

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Background Many people with a longer second toe or lesser toes experience symptoms such as corns, hammertoe, and numerous others, especially when wearing open-toe shoes. Proximal interphalangeal joint arthrodesis using intraosseous loop wiring performed through a hidden side incision is a useful method to shorten the lesser toes aesthetically.Methods Aesthetic toe-shortening procedures were performed in 30 patients. All patients were evaluated by a physical examination and X-rays, and they underwent proximal interphalangeal joint arthrodesis using intraosseous loop wiring through a medial incision. Demographic characteristics, including foot morphology, were analyzed. The number of resected toes and resection amounts of each toe were measured. Patients’ satisfaction was determined through a questionnaire administered at each follow-up.Results In total, 91 toe-shortening procedures were performed in 30 patients who were followed up for an average of 24 months (range, 6–48 months). Sixteen patients had Greek-type feet (53.3%) and 14 had square-type feet (46.7%). Twelve patients had hammer toe deformity (40.0%) and 13 had corns (43.3%). The average length of the resected second and third toes was 9.66±2.79 mm (range, 5–15 mm) and 7.78±2.51 mm (range, 5–12 mm), respectively. The vast majority of patients were satisfied with the final results. No significant complications such as nonunion occurred. Only one case of mild angulation of the second toe was noted.Conclusions Aesthetic toe-shortening using the procedure described here can prevent the development of lessor toe deformities and provide permanent, aesthetically pleasing results with a short recovery time.

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Section: Discussionmentioning

confidence: 99%

“…Common surgical techniques to address mallet toe include arthroplasty with resection of the head of the proximal phalanx and arthrodesis of the PIP joint [7]. These traditional techniques were developed to treat foot deformities, and leave prominent scars.…”

Section: Introductionmentioning

confidence: 99%

An effective aesthetic toe-shortening procedure

Jung

Kim

Lee

et al. 2023

Arch Aesthetic Plast Surg

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“…Various authors have incorporated minimally invasive techniques with refrigeration, tourniquet, osteosynthesis, and rigid splinting ( 4 , 24 , 33 – 35 ). During our study, we only performed unicortical osteotomy and bandaging, which showed good results ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of minimally invasive surgery using incomplete phalangeal osteotomy for symptomatic curly toe of adults with a trapezoidal phalanx: An observational study

Ramírez-Andrés

Nieto-García²,

Nieto-González³

et al. 2022

Front. Surg.

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Background and aimsDigital deformity in flexion, varismus (external rotation), and adduction with the toe in both supraduction and infraduction are called clinocampodactyly or curly toe. All adult patients with symptoms and a diagnosis of semirigid/rigid curly toes underwent radiological examination to verify the presence of a trapezoidal phalanx. The purpose of this study was to quantitatively determine the degrees of improvement of a dysmetric phalanx after incomplete phalangeal osteotomy using minimally invasive surgery. The points of improvement were determined using the American Orthopedic Foot and Ankle Society (AOFAS) scale score.MethodsBetween May 2021 and June 2022, 30 patients diagnosed with curly toes underwent unicortical osteotomy of the affected phalanx. The convergence angle was measured and the AOFAS scale scores were compared.ResultsA total of 33 toes underwent surgery. The average reduction of the convergence angle was 9°. The average improvement in the AOFAS scale score was 53 points at 6 months and reached almost 90 points (89.9 ± 6.1 points).ConclusionsIncomplete phalangeal osteotomy performed with minimally invasive surgery of the trapezoidal phalanges of curly toes of adults can improve alignment and AOFAS scale scores.

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“…Recurrence of deformity in this patient included contracture of all plantar structures, including the flexor tendon, interphalangeal joints, and skin. The decision to include an osteotomy of the proximal phalanx, in addition to release of all plantar soft tissue structures, is well-described to be successful in the adult population 3,6,14,15 . The decision to perform osteotomy in the revision setting, avoiding arthrodesis in the growing population, is aimed at shortening the toe to avoid recurrence and address the potential for hypoperfusion with correction of the flexion deformity.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Hammertoe Recurrence—Considerations for Revision Surgical Technique and Hypoperfusion Management

Fawcett

Jarka

Sinclair

2022

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Case:A 7-year-old girl presented with a recurrent hammertoe deformity causing pain with shoe wearing after a prior corrective surgery. Surgical revision required a unique approach that included a staged corrective osteotomy of the proximal phalanx because of hypoperfusion management and the application of a rotational skin flap previously described for camptodactyly correction in the hand to avoid harvesting a skin graft.Conclusion:Revision surgery for recurrent pediatric hammertoe deformity requires a heightened awareness of the risk for toe hypoperfusion and subsequent wound closure challenges.

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Correction of Hammer Toe Deformity of Lateral Toes With Subtraction Osteotomy of the Proximal Phalanx Neck

Cited by 10 publications

References 16 publications

An effective aesthetic toe-shortening procedure

An effective aesthetic toe-shortening procedure

Effectiveness of minimally invasive surgery using incomplete phalangeal osteotomy for symptomatic curly toe of adults with a trapezoidal phalanx: An observational study

Pediatric Hammertoe Recurrence—Considerations for Revision Surgical Technique and Hypoperfusion Management

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