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Second phalanx shortening osteotomy. An innovative technique for long second toe syndrome
1Institut Monégasque de Médecine et Chirurgie Sportive (IM2S), 11, avenue d'Ostende, 98000, Belgium.
Summary
Long second-toe syndrome can be effectively treated with a new bone shortening osteotomy procedure. This minimally invasive surgery preserves toe function and biomechanics, offering a reliable solution for this common foot condition.
Area of Science:
- Orthopedic surgery
- Podiatry
- Foot and ankle anatomy
Background:
- Long second-toe syndrome is a common yet under-described condition.
- Existing surgical interventions often result in functional deficits.
- Anatomical and biomechanical principles informed the development of a novel technique.
Purpose of the Study:
- To introduce and evaluate a new surgical technique for long second-toe syndrome.
- To assess the efficacy and safety of second phalanx shortening osteotomy.
- To determine if the procedure respects the natural biomechanics of the toe.
Main Methods:
- A retrospective analysis of 23 feet undergoing second phalanx shortening osteotomy.
- The procedure involves a self-stabilizing segment resection osteotomy.
- Outcomes were assessed via clinical examination, radiography, and validated scoring systems (AOFAS, FAAM).
Main Results:
- The second phalanx shortening osteotomy demonstrated reliable outcomes in the initial cohort.
- Mean follow-up duration was 19 months.
- The technique successfully preserved the biomechanics of the affected toe.
Conclusions:
- Second phalanx shortening osteotomy is a viable and effective surgical option for long second-toe syndrome.
- The minimally invasive nature and functional preservation make it a promising advancement.
- This technique addresses the limitations of previous surgical approaches.
