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Extensor Digitorum Brevis Transfer Technique to Correct Multiplanar Deformity of the Lesser Digits
Kimberlee B Hobizal1, Dane K Wukich2, Jeffrey Manway2
1Foot and Ankle Surgery, University of Pittsburgh Medical Center, Mercy Health Center, Pittsburgh, Pennsylvania (KBH)Division of Foot and Ankle Surgery, Rehabilitation Science and Technology, UPMC Mercy Center for Healing and Amputation Prevention & Comprehensive Foot and Ankle Center, Mercy Health Center, Pittsburgh, Pennsylvania (DKW)Division of Foot and Ankle Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (JM) hobizalkb@upmc.edu.
Unlabelled:
Lesser digital deformities may present a surgical challenge to even the most skilled foot and ankle surgeon. Multiplanar toe deformities, including the crossover toe, are especially difficult to correct with reproducible results. Undercorrection, pain, stiffness, and recurrent deformity are well reported throughout foot and ankle literature. The goal of this article is to describe a method of correcting digital deformity utilizing the extensor digitorum brevis tendon transfer and a biotenodesis screw. The controlled tension established with the extensor tendon provides the necessary stability for multiplanar correction of multiplanar digital deformities. This technical tip article should serve as pilot study for future evaluation of this method of correction.
Levels Of Evidence:
Level IV: Case series.
