The Foot and Ankle Online Journal 5 (3): 2
Percutaneous surgery for some forefoot deformities is now accepted by some orthopaedic surgeons as a viable fixation technique in the presence of infection. In most cases percutaneous surgery refers to distal procedures limiting its application in hallux valgus
Case reportA 73 year-old female underwent hallux valgus surgery 15 years ago. No documents were uncovered concerning the surgical technique or circumstances of surgery. For the last 5 years the patient has noticed a gradual recurrence of the forefoot deformity. One month prior to presentation, she developed acute first metatarsophalangeal (1 st MTP) joint inflammation with fever up to 39 degrees Celsius. A draining, purulent wound appeared a few days later. The patient was admitted to the septic department of another hospital. She was treated conservatively for several days with some improvement and then transferred to our clinic.
Surgical treatment results for 27 patients with interdigital keratosis of the foot were analyzed. To determine the predisposing factors for keratosis development data of clinical and roentgenologic examination were used. In all cases transcutaneous technique that enabled to avoid surgical intervention directly on a pathologic focus was applied. Mean follow up period made up 6 months. It was shown that transcutaneous surgical intervention was an effective and reproducible method for interdigital keratosis treatment. That technique provided positive results with minimum risk of postoperative complications in the majority of cases and could be used at outpatient department.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.