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Updated: May 8, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach

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[Extensor digitorum longus transfer in flexible overlapping fifth toe deformity].

R A Fuhrmann¹, T Pillukat

¹Klinik für Fuß- und Sprunggelenkschirurgie, Rhön-Klinikum, Salzburger Leite 1, 97616, Bad Neustadt, Deutschland, info@fusschirurgie-bad-neustadt.de.

Operative Orthopadie Und Traumatologie

|September 6, 2013

Summary

This summary is machine-generated.

This study addresses flexible overlapping fifth toe deformity using capsular release and tendon transfer. The surgical technique achieved physiological alignment in 77.1% of feet, offering a viable solution for this condition.

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Murine Flexor Tendon Injury and Repair Surgery

Murine Flexor Tendon Injury and Repair Surgery

Published on: September 19, 2016

Area of Science:

Orthopedic surgery
Foot and ankle reconstruction
Podiatric medicine

Background:

Flexible overlapping fifth toe deformity is a common condition causing pain and affecting gait.
Conservative treatments are often insufficient, necessitating surgical intervention.

Purpose of the Study:

To evaluate the efficacy of a surgical technique involving dorsomedial capsular release and extensor digitorum longus tendon transfer for correcting flexible overlapping fifth toe deformity.
To assess the postoperative outcomes and complication rates associated with this procedure.

Main Methods:

The study involved a dorsolateral approach to the fifth metatarsophalangeal joint, releasing the dorsomedial capsule.
The extensor digitorum longus tendon was tenotomized and transferred to the abductor digiti quinti muscle's aponeurosis.
Postoperative management included full weightbearing in a surgical shoe and toe alignment dressing for six weeks.

Main Results:

Of 48 patients (56 feet), 40 (48 feet) were re-evaluated after an average of 11.4 months.
Physiological alignment of the fifth toe was achieved in 77.1% of feet.
Complications included sensory disturbance (n=5), superficial wound slough (n=3), and hypertrophic scars (n=16).

Conclusions:

The described surgical technique is effective in correcting flexible overlapping fifth toe deformity, with a high rate of physiological alignment.
Potential complications should be considered, and appropriate management of coexisting deformities like Tailor's bunion is crucial for optimal outcomes.