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[Experiences with the Butler procedure for overlapping fifth toe]
1Abteilung für Kinderorthopädie der Orthopädischen Klinik Wichernhaus, Rummelsberg. schuh-alexander@t-online.de
Unlabelled:
Overlapping fifth toe is a finding in pediatric orthopaedics which rarely requires operative therapy.
Patients And Method:
Between Jan. 1, 1992 and Dec. 31, 2002 five operations of an overlapping fifth toe using the Butler procedure were performed at a mean patients age of 5.5 years (min: 3, max: 9). All patients were clinically evaluated after a mean follow-up of 6 years (min: 2, max: 10) according to the score of Black. We present the technique of the Butler procedure and discuss the relevant literature.
Results:
An excellent result was achieved in all patients. Despite the extensive soft tissue release no complications could be found.
Conclusion:
The Butler procedure is a simple and safe procedure without any need of immobilisation.
