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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Published on: January 24, 2018

Lesser toe deformity classification: A simplified approach with treatment influence.

Zachery Weyandt¹, Mark Capuzzi¹, William McGlone¹

¹Podiatric Medicine and Surgery, Department of Orthopedics, University of Louisville, 142 Chenoweth Lane, Louisville, KY, 40207, USA.

Foot (Edinburgh, Scotland)

|July 31, 2021

Summary

A new classification system for lesser toe deformities simplifies treatment by categorizing conditions into two types: toe-only (Type 1) or involving the metatarsophalangeal joint (Type 2). This aims to improve surgical planning and communication among foot and ankle specialists.

Keywords:

Claw toe Contracted toe Digit deformity Hammertoe classification Mallet toe

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Area of Science:

Orthopedics
Podiatry
Surgical Classification Systems

Background:

Lesser toe deformities are common conditions treated by foot and ankle surgeons.
Current classification systems lack standardization, leading to confusion in diagnosis and treatment.
Existing nomenclature is often complex, relying on multiple descriptors.

Purpose of the Study:

To review existing lesser toe deformity classification systems.
To introduce a simplified, treatment-driven classification system.
To enhance communication, documentation, and surgical planning for lesser toe deformities.

Main Methods:

A literature review of existing lesser toe deformity classification systems was conducted.
Seven relevant sources, including novel and modified systems, were analyzed.
A new classification system, the University of Louisville Lesser Toe Deformity Classification (LTDC), was developed.

Main Results:

The LTDC categorizes lesser toe deformities into two main types.
Type 1: Deformities isolated to the toe.
Type 2: Deformities involving the metatarsophalangeal joint.

Conclusions:

The University of Louisville Lesser Toe Deformity Classification (LTDC) offers a simplified approach.
This classification aims to improve clarity in communication and documentation.
The LTDC is intended to assist in surgical planning for lesser toe deformities.