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Ischemic toe after surgery for lesser toe deformities: An algorithm.

Julia Gray1, Dishan Singh1

  • 1Foot & Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, United Kingdom.

Foot (Edinburgh, Scotland)
|July 31, 2021
PubMed
Summary
This summary is machine-generated.

Postoperative pale or white toes after lesser toe deformity correction are typically caused by vasospasm. This review proposes an algorithm to manage this complication, aiming to prevent gangrene.

Keywords:
Digital ischaemiaLesser toe correctionPale toeVasospasm

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Area of Science:

  • Podiatric surgery
  • Vascular complications

Background:

  • Ischemia is a rare but serious complication following lesser toe deformity correction.
  • Vasospasm is the most common cause of postoperative toe pallor.

Purpose of the Study:

  • To review the literature on managing postoperative toe ischemia.
  • To propose a step-by-step algorithm for addressing pale or white toes post-surgery.

Main Methods:

  • Comprehensive literature review on lesser toe surgery complications.
  • Development of a clinical algorithm based on reviewed evidence.

Main Results:

  • Ischemia is usually transient, caused by vasospasm.
  • Rarely, ischemia can progress to gangrene if not managed promptly.

Conclusions:

  • A structured approach is essential for managing postoperative toe ischemia.
  • The proposed algorithm provides a logical framework for clinical decision-making.