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Minimally Invasive Surgery Approach to Lesser Toe Deformities.
Véronique Darcel1, Gustavo Araujo Nunes2, Barbara Piclet-Legré3
1Department of Orthopaedics Surgery and Traumatology, Maison de Santé Protestante de Bordeaux Bagatelle, Bordeaux 33000, France.
Foot and Ankle Clinics
|July 26, 2025
Summary
Percutaneous treatment for lesser toe deformities (LTD) offers safe and effective outcomes. This article details percutaneous techniques and proposes a sequential strategy for optimal results.
Area of Science:
- Orthopedic surgery
- Minimally invasive procedures
- Foot and ankle surgery
Background:
- Lesser toe deformities (LTD) are increasingly treated with percutaneous surgery.
- Percutaneous forefoot surgery demonstrates safe and effective results.
- Early techniques involved osteotomies, condylectomies, and tenotomies.
Purpose of the Study:
- To describe percutaneous soft tissue and osteotomy techniques for LTD.
- To review the results and indications of these techniques.
- To propose a sequential therapeutic strategy for LTD treatment.
Main Methods:
- Review of percutaneous soft tissue and osteotomy techniques.
- Analysis of surgical outcomes and indications.
- Development of decision trees for a proximal-to-distal treatment strategy.
Main Results:
- Percutaneous techniques for LTD are evolving with advancements in osteotomies and tenotomies.
- The article outlines specific techniques, their outcomes, and clinical indications.
- A proposed sequential strategy guides treatment from proximal to distal.
Conclusions:
- Percutaneous approaches provide a safe and effective method for treating lesser toe deformities.
- The described techniques and proposed strategy can optimize surgical outcomes.
- Further research and clinical experience support the growing use of percutaneous LTD treatment.

