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Classical Surgical Alternatives for the Treatment of Lesser Toe Deformities
1Fusszentrum Wien, Alserstrasse 43/8d 1080, Wien, Austria; Foot and Ankle Center Vienna, Alserstrasse 43/8d, 1080 Vienna, Austria.
Foot and Ankle Clinics
|October 24, 2024
Summary
Lesser toe deformities, common foot and ankle issues, require thorough assessment and individualized surgical correction. Both soft tissue and bone procedures are often combined for optimal outcomes.
Area of Science:
- Orthopedic surgery
- Foot and ankle reconstruction
- Podiatric medicine
Background:
- Lesser toe deformities represent a significant portion of foot and ankle pathologies.
- Historical surgical interventions for these deformities date back to the late 19th century.
- The presentation of lesser toe deformities is highly variable.
Purpose of the Study:
- To review current approaches to the surgical correction of lesser toe deformities.
- To emphasize the necessity of comprehensive joint assessment.
- To discuss the integration of soft tissue and osseous techniques for personalized treatment.
Main Methods:
- Review of historical and contemporary surgical techniques for lesser toe correction.
- Emphasis on diagnostic assessment of affected joints.
- Discussion of combined soft tissue and osseous surgical strategies.
Main Results:
- Individualized correction necessitates a combination of soft tissue and osseous interventions.
- Kirschner-wire fixation remains a viable option.
- Internal fixation presents a promising future direction pending cost-effectiveness improvements.
Conclusions:
- Effective treatment of lesser toe deformities requires a tailored approach combining soft tissue and osseous procedures.
- While Kirschner-wire fixation is effective, advancements in cost-effective internal fixation are anticipated.
- Comprehensive assessment is crucial for successful surgical outcomes.
