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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.
Clinics in Podiatric Medicine and Surgery
|May 28, 2026
Summary
Lesser toe deformities are common foot and ankle issues requiring thorough assessment and tailored surgical correction. Both soft tissue and bone procedures are often combined for optimal outcomes.
Area of Science:
- Orthopedics
- Podiatry
- Surgical Innovation
Background:
- Lesser toe deformities represent the second most frequent foot and ankle abnormalities.
- Historical surgical interventions for these deformities date back to the late 19th century.
- These deformities exhibit significant variability in presentation.
Purpose of the Study:
- To highlight the necessity of comprehensive joint assessment in lesser toe deformities.
- To review available soft tissue and osseous intervention techniques for individualized correction.
- To discuss current and future fixation methods.
Main Methods:
- Review of historical and current surgical techniques for lesser toe correction.
- Emphasis on the combination of soft tissue and osseous procedures.
- Evaluation of Kirschner-wire fixation versus internal fixation.
Main Results:
- Individualized correction requires a combination of soft tissue and osseous interventions.
- Kirschner-wire fixation remains effective.
- Internal fixation presents a potential future direction pending cost-effectiveness improvements.
Conclusions:
- Accurate assessment of all involved joints is crucial for effective lesser toe deformity correction.
- A combination of surgical techniques is typically necessary.
- Advancements in internal fixation may offer future benefits if cost-effective.
