Quintus varus supraductus congénital : technique chirurgicale

Derhy, Y.; Binder, J.-P.; Mitrofanoff, M.; Haddad, Robert M.; Pavy, Bernard

doi:10.1016/j.anplas.2004.01.005

Cited by 6 publications

(9 citation statements)

References 5 publications

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“…The deformity may become symptomatic during childhood or cause problems later on, during adolescence. 2 , 9 , 12…”

Section: Discussionmentioning

confidence: 99%

“…Before that, only observation should be done, since some cases may resolve spontaneously. 2 , 9 , 12…”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 , 7 , 8 Butler’s arthroplasty, described by Cockin in 1968, 5 is one of the most commonly used techniques 6 , 8 because it has shown to efficiently and safely correct the problem, yielding good functional results, with a high degree of patient satisfaction. 1 , 2 , 5 , 6 , 8 …”

Section: Introductionmentioning

confidence: 99%

“…The overriding fifth toe is a congenital malformation of the forefoot with functional and/or aesthetic implications in children and adolescents, causing painful dorsal bursitis, callosities or problems with footwear in 50% of the cases. [1][2][3][4] It is bilateral in 20% to 30% of cases and equally affects male and female patients. 1,[5][6][7] A triplanar deformity at the metatarsophalangeal joint of the fifth toe can be observed, with adduction in the transverse plane, hyperextension in the sagittal plane and external rotation in the coronal plane.…”

Section: Introductionmentioning

confidence: 99%

“…1,[5][6][7] A triplanar deformity at the metatarsophalangeal joint of the fifth toe can be observed, with adduction in the transverse plane, hyperextension in the sagittal plane and external rotation in the coronal plane. 1,2,4,5,8,9 The main aetiological factor is the soft-tissue retraction at the fifth metatarsal-phalangeal joint with dorsomedial subluxation, capsular adhesions at the metatarsal head and a short and adducted extensor tendon. These changes promote the overlap of the fifth toe with the fourth toe, with continual contact with the footwear, which may cause skin lesions or painful callosities in the fifth toe and in the plantar and lateral regions (Fig.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of the overriding fifth toe: Butler's arthroplasty is a good option

Simões¹,

Alves²,

Tavares³

et al. 2018

Journal of Children's Orthopaedics

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PurposeThe overriding fifth toe is a congenital triplane deformity that may cause aesthetic and functional concerns in children and adolescents. This study aims to evaluate the results obtained when using Butler’s arthroplasty to treat this forefoot deformity.MethodsWe performed a retrospective study, including all patients undergoing Butler’s arthroplasty from January 1995 to December 2012. Clinical records were reviewed to determine age at date of surgery, gender, laterality, preoperative symptoms, success of deformity correction, postoperative pain, scarring, need for adapted shoe, rates of complications and recurrence. Patient satisfaction was evaluated through a telephone interview. All p-values < 0.05 were considered statistically significant.ResultsA total of 21 patients were included in this study, the majority of which were male (57%), with a mean follow-up of 12 months (1 to 52). In the evaluation of the residual deformity (18 patients), 72% had excellent results, 17% good and 11% poor results. One patient had a keloid scar, three patients reported pain and three patients required adapted footwear. There was a partial recurrence of the deformity in three cases. The majority of patients (78%) were satisfied with the surgery. There was no statistically significant difference in terms of results, when comparing patients older and younger than seven years of age (p = 0.46).ConclusionsButler’s operation is effective and safe in the treatment of the overriding fifth toe, yielding good functional results and patient satisfaction, with low rate of complications.Level of EvidenceIV

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“…The deformity may become symptomatic during childhood or cause problems later on, during adolescence. 2 , 9 , 12…”

Section: Discussionmentioning

confidence: 99%

“…Before that, only observation should be done, since some cases may resolve spontaneously. 2 , 9 , 12…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Treatment of the overriding fifth toe: Butler's arthroplasty is a good option

Simões¹,

Alves²,

Tavares³

et al. 2018

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

show abstract

Deformity of the Lesser Toes

Sotelano

Villena

2022

Foot and Ankle Disorders

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Percutaneous correction of congenital overlapping fifth toe in paediatric patients

Murgier

Knörr

Soldado

et al. 2013

Orthopaedics & Traumatology: Surgery & Research

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The various available surgical methods for correcting congenital overlapping fifth toe deformity consistently require a skin plasty step, which can result in complications (necrosis, tight scar, unbecoming appearance). Here, we describe a percutaneous technique involving extensor tenotomy combined with release of the dorso-medial capsule and ligaments. No skin plasty is required. Percutaneous osteotomy of the first phalanx can be performed if needed. From 2006 to 2010, we used this technique in 16 patients (27 toes) with a mean age of 12.6years (range, 6-17years). Mean follow-up at last evaluation was 2.1 years. Osteotomy of the first phalanx was performed for 13 toes. The outcome was very good for 21 toes and good for six toes. No relapses or complications were recorded. This simple and safe technique deserves consideration in children with congenital overlapping fifth toe.

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Quintus varus supraductus congénital : technique chirurgicale

Cited by 6 publications

References 5 publications

Treatment of the overriding fifth toe: Butler's arthroplasty is a good option

Treatment of the overriding fifth toe: Butler's arthroplasty is a good option

Deformity of the Lesser Toes

Percutaneous correction of congenital overlapping fifth toe in paediatric patients

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