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Modified double plantar plate tenodesis.

T H Lui1, L L LiYeung1

  • 1Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong Special Administrative Region.

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
|February 5, 2017
PubMed
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A modified surgical technique effectively stabilizes the metatarsophalangeal joint, correcting lesser toe deformities like claw toe and crossover toe without recurrence. This approach avoids complex procedures, offering a simpler solution for patients.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Podiatric Medicine

Background:

  • Lesser toe deformities, such as claw toe and crossover toe, often stem from metatarsophalangeal joint instability due to plantar plate deficiency.
  • Traditional plantar plate repair can stabilize the joint but may lead to iatrogenic transverse plane deformities or limited toe extension.
  • Existing correction methods like tenodesis and extensor digitorum brevis transfer can have functional limitations.

Purpose of the Study:

  • To introduce and evaluate a modified surgical technique for correcting lesser toe deformities.
  • To assess the efficacy of the modified technique in stabilizing the metatarsophalangeal joint.
  • To determine if the modified procedure can correct deformities without causing iatrogenic issues or requiring complex interventions.
Keywords:
ArthroscopyClaw toeCrossover toePlantar plateRepairToe deformity

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Main Methods:

  • A modified surgical technique was developed to address metatarsophalangeal joint instability and lesser toe deformities.
  • The clinical outcomes of 10 patients who underwent the modified procedure were prospectively assessed.
  • Surgical success was evaluated based on joint stability, deformity correction, and absence of recurrence or complications.

Main Results:

  • The modified technique achieved full correction of deformities in all treated lesser toes.
  • No recurrence of the deformity was observed in any of the 10 patients post-operatively.
  • The procedure successfully stabilized the metatarsophalangeal joint.

Conclusions:

  • The modified technique provides effective stabilization of the metatarsophalangeal joint for lesser toe deformities.
  • This innovative approach corrects toe deformities without necessitating tendon transfers, osteotomies, or specialized instrumentation.
  • The proposed modification offers a simplified and reliable solution for acquired lesser toe deformities.