Flexor Digitorum Brevis Transfer for Floating Toe Prevention after Weil Osteotomy

Lee, Lydia C.; Charlton, Timothy P.; Thordarson, David B.

doi:10.1177/1071100713502641

Cited by 12 publications

(10 citation statements)

References 11 publications

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“…First, a low TGS is associated with floating toe. Previous studies6, 16 ) reported that the windlass mechanism may be responsible for post-osteotomy floating toe. TGS is exerted mainly by the plantar intrinsic and extrinsic muscles17 ) , which play a role in the windlass mechanism.…”

Section: Discussionmentioning

confidence: 94%

Association between floating toe and toe grip strength in school age children: a cross-sectional study

et al. 2016

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[Purpose] This study investigated the association between floating toe and toe grip strength. [Subjects and Methods] A total of 635 Japanese children aged 9–11 years participated in this study. Floating toe was evaluated using footprint images, while toe grip strength was measured using a toe grip dynamometer. All 1,270 feet were classified into a floating toe group and a normal toe group according to visual evaluation of the footprint images. Intergroup differences in toe grip strength were analyzed using the unpaired t-test and logistic regression analysis adjusted for age, gender, and Rohrer Index. [Results] There were 512 feet (40.3%) in the floating toe group. Mean toe grip strength of the feet with floating toe was significantly lower than that of normal feet (floating toe group, 12.9 ± 3.7 kg; normal toe group, 13.6 ± 4.1 kg). In addition, lower toe grip strength was associated with floating toe on logistic regression analysis after adjustment for age, gender, and Rohrer Index (odds ratio, 0.954; 95% confidence interval, 0.925–0.984). [Conclusion] This study revealed that lower toe grip strength was significantly associated with floating toe. Therefore, increasing toe grip strength may play a role in preventing floating toe in school age children.

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Section: Discussionmentioning

confidence: 94%

Association between floating toe and toe grip strength in school age children: a cross-sectional study

et al. 2016

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“…Shortening the metatarsal and positioning the center of rotation of the metatarsal head slightly dorsal to the intrinsic musculature, it allows for a more anatomical vector with increased lever arm for the musculature to pull the proximal phalanx plantarly, correcting the MTPJ dorsiflexion deformity [43]. Fair to good functional results were reported, but a high percentage of complications have been associated with these procedures, particularly floating toes and MTPJ stiffness [18,19,44,45]. Although biomechanically sound, the fact that the surgery is most commonly and traditionally performed open, and consists of an intraarticular osteotomy, it is inherently associated with increased scar tissue formation, dorsiflexion contracture (floating toes) and MTPJ stiffness [15].…”

Section: Discussionmentioning

confidence: 99%

“…The Weil osteotomy is perhaps the standard DMSO technique and consists of an intra-articular oblique osteotomy aligned parallel to the floor [17]. The reported complications of DMSO include recurrence of the sagittal plane component of the deformity, with floating toes presenting in up to 68% of the cases [18,19], as well as frequent and considerable MTPJ stiffness. The intraarticular or intracapsular characteristic of these osteotomies, associated with the need for extensive dorsal soft tissue dissection, is deemed to be partially responsible for the prevalence of these complications [19].…”

Section: Introductionmentioning

confidence: 99%

Flexor tenodesis procedure in the treatment of lesser toe deformities

Schmidt

Lalevée

Mansur

2021

Arch Orthop Trauma Surg

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In this technical report study, we describe the use of a flexor tenodesis procedure in the treatment of lesser toe deformities (LTD). Using a specific implant, both the flexor digitorum longus and brevis tendons are attached to the plantar aspect of the proximal phalanx, allowing dynamic correction of flexible deformities of metatarsophalangeal and interphalangeal joints. Good clinical results and absence of complications were observed in a series of 3 patients, with considerable correction of the LTD, and absence of substantial residual floating toe or metatarsophalangeal joint stiffness. Level of evidence V – Technical Report/Case Report/Expert Opinion.

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“…Transfer of the FDB to the proximal interphalangeal joint has been found effective in the prevention of floating toes after Weil osteotomy [13] and in toe ulcers of claw-or hammer-toes in diabetic patients [14]. FDB transfer to the interosseous and lumbrical muscles has been effectively used in treating dynamic claw toe deformity [15].…”

Section: Discussionmentioning

confidence: 99%

An Anatomical Study Of The Musculus Flexor Digitorum Brevis

Arquez

2017

int arch med

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Background: The present study documents valuable new data on the anatomical variations of the musculus flexor digitorum brevis in an adult Colombian population, this muscle and in particular its fourth slip, has a significant clinical and surgical importance. The fourth slip is undergoing a phylogenetic degeneration. The purpose of this study is to conduct an evidenced on the prevalence of the musculus flexor digitorum brevis and its variants in humans. Methods and Findings:A total of 17 cadavers with different age groups were used for this study, 34 feet of 15 male and 2 females embalmed adults cadavers in the laboratory of Morphology of the University of Pamplona. All feet (n= 34) were studied serially during the years 2013-2016. Of the 34 feet examined, in 32 (94.12%) the muscle conformed to the classical descriptions given in anatomical textbooks showed 4 bellies. In the remaining 2 feet (5.88%) the muscle divided into three parts which ended in slender tendons to the second, third and fourth toes. Conclusions:The knowledge of the anatomical variations in relation to the demographic characteristics of patients would be of importance for diagnostic imaging and foot surgery.

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Flexor Digitorum Brevis Transfer for Floating Toe Prevention after Weil Osteotomy

Abstract: Continued research in this subject will help to refine methods of prevention and correction of the floating toe deformity.

Cited by 12 publications

References 11 publications

Association between floating toe and toe grip strength in school age children: a cross-sectional study

Association between floating toe and toe grip strength in school age children: a cross-sectional study

Flexor tenodesis procedure in the treatment of lesser toe deformities

An Anatomical Study Of The Musculus Flexor Digitorum Brevis

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