Butler's procedure for congenital varus 5th toe: evaluation with long-term follow-up

Abu-Hassan, Freih; Shannak, Akram; McManus, F.

doi:10.1054/foot.2001.0697

Cited by 2 publications

(20 citation statements)

References 7 publications

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“… 5 , 6 , 8 We obtained a rate of 72% excellent results, 17% good results and 11% poor results, in agreement with most literature ( Table 2 ). 3 , 5 , 6 , 8 , 11 …”

Section: Discussionsupporting

confidence: 90%

“…In our study, most patients were satisfied with the surgery (78%), which is close to that described in the literature (De Boeck – 95%, 6 Gollamudi and Turnball – 82% 3 and AbuHassan – 100% 8 ). Most patients in our study did not need an adapted shoe (14%).…”

Section: Discussionsupporting

confidence: 89%

“…In our study, most of the patients were male (57%), which is not consistent with the majority of the literature. 3 , 5 , 8 The mean age at surgery was similar to that described in the literature. 5 , 6 , 8 We obtained a rate of 72% excellent results, 17% good results and 11% poor results, in agreement with most literature ( Table 2 ).…”

Section: Discussionsupporting

confidence: 78%

“…However, different results have been reported in the recent literature. In 2001, in a study of two institutions with a sample of 48 patients, AbuHassan et al 8 reported 35.1% excellent results and recurrence in 5.4% of cases. In 2007, Gollamudi and Turnbull 3 reported a study with 11 cases, with 54.5% excellent results and 18% recurrence.…”

Section: Discussionmentioning

confidence: 98%

“…4 Subsequently, a technique was described by Morris (1982) and Hulman (1964) which associates extensor tendon tenotomy with dorsal capsulotomy 4 , 12 Most of these interventions were extremely invasive and difficult to perform, or associated with a high rate of complications, recurrence and high morbidity, and these often outweighed the limitations inherent in the deformity. 6 , 8 …”

Section: Discussionmentioning

confidence: 99%

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Treatment of the overriding fifth toe: Butler's arthroplasty is a good option

Simões¹,

Alves²,

Tavares³

et al. 2018

Journal of Children's Orthopaedics

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PurposeThe overriding fifth toe is a congenital triplane deformity that may cause aesthetic and functional concerns in children and adolescents. This study aims to evaluate the results obtained when using Butler’s arthroplasty to treat this forefoot deformity.MethodsWe performed a retrospective study, including all patients undergoing Butler’s arthroplasty from January 1995 to December 2012. Clinical records were reviewed to determine age at date of surgery, gender, laterality, preoperative symptoms, success of deformity correction, postoperative pain, scarring, need for adapted shoe, rates of complications and recurrence. Patient satisfaction was evaluated through a telephone interview. All p-values < 0.05 were considered statistically significant.ResultsA total of 21 patients were included in this study, the majority of which were male (57%), with a mean follow-up of 12 months (1 to 52). In the evaluation of the residual deformity (18 patients), 72% had excellent results, 17% good and 11% poor results. One patient had a keloid scar, three patients reported pain and three patients required adapted footwear. There was a partial recurrence of the deformity in three cases. The majority of patients (78%) were satisfied with the surgery. There was no statistically significant difference in terms of results, when comparing patients older and younger than seven years of age (p = 0.46).ConclusionsButler’s operation is effective and safe in the treatment of the overriding fifth toe, yielding good functional results and patient satisfaction, with low rate of complications.Level of EvidenceIV

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“… 5 , 6 , 8 We obtained a rate of 72% excellent results, 17% good results and 11% poor results, in agreement with most literature ( Table 2 ). 3 , 5 , 6 , 8 , 11 …”

Section: Discussionsupporting

confidence: 90%