Butler's procedure for correction of overriding fifth toe

Gollamudi, Srikanth; Turnbull, T. J.

doi:10.1016/j.fas.2006.10.004

Cited by 3 publications

(12 citation statements)

References 3 publications

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“…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 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: 99%

“… 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: Discussionmentioning

confidence: 99%

“…Our patients had a low rate of complication with respect to healing (one patient with keloid scar) and the presence of vascular lesion (no patient), consistent with that described in the literature. 3 , 5 , 6 , 11 …”

Section: Discussionmentioning

confidence: 99%

“…There was no statistically significant difference between patients older and younger than age seven years regarding the functional results obtained as per the Black Scale, similar to what has been reported in other studies. 3 , 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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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

“… 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: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

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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Congenital Overlapping Fifth Toe

Gilheany¹

2019

Hammertoes

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Transfer der Extensor-digitorum-longus-Sehne zur Behandlung des flexiblen Digitus quintus varus superductus

Fuhrmann

Pillukat

2013

Oper Orthop Traumatol

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A total of 48 patients (56 feet; average age 37 years) with a flexible overlapping fifth toe deformity were followed up after soft tissue release and transfer of the extensor digitorum longus tendon; 40 patients (48 feet) were re-evaluated clinically after 11.4 months (range 9-26 months). Postoperative complications were sensory disturbance at the lateral side of the fifth toe (n = 5), superficial wound slough (n = 3). Follow-up results included broad and hypertrophic scars at the fifth metatarsophalangeal joint (n = 16), physiological alignment of the fifth toe in 37 feet (77.1%), overcorrection (interdigital space 4/5 > 3 mm) in 4 feet (8.3%), undercorrection in 7 feet (14.6%). In 4 feet the undercorrection could be attributed to a Tailor's bunion deformity, which was not treated appropriately.

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Butler's procedure for correction of overriding fifth toe

Cited by 3 publications

References 3 publications

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

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

Congenital Overlapping Fifth Toe

Transfer der Extensor-digitorum-longus-Sehne zur Behandlung des flexiblen Digitus quintus varus superductus

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