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[Experiences with the Butler procedure for overlapping fifth toe].

A Schuh1, S Werber, G Zeiler

  • 1Abteilung für Kinderorthopädie der Orthopädischen Klinik Wichernhaus, Rummelsberg. schuh-alexander@t-online.de

Zentralblatt Fur Chirurgie
|April 26, 2005
PubMed
Summary

Overlapping fifth toe in children rarely needs surgery. The Butler procedure offers a safe and effective surgical solution with excellent outcomes and no complications.

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Area of Science:

  • Pediatric Orthopaedics
  • Surgical Techniques

Background:

  • Overlapping fifth toe is a common pediatric foot anomaly.
  • Operative intervention is infrequently required for this condition.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Butler procedure for correcting overlapping fifth toe.
  • To present the surgical technique and review relevant literature.

Main Methods:

  • A retrospective review of five pediatric patients who underwent the Butler procedure for overlapping fifth toe between 1992 and 2002.
  • Patients were evaluated post-operatively using the Black score after a mean follow-up of 6 years.

Main Results:

  • All five patients achieved excellent results following the Butler procedure.

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  • No complications were reported despite extensive soft tissue release.

    • Conclusions:

    • The Butler procedure is a simple, safe, and effective surgical option for overlapping fifth toe in children.
    • This technique does not require post-operative immobilization.