Flail Toe Correction: Interpositional Bone Graft and Syndactylization Approaches

Downey, Michael S.

doi:10.1007/978-3-319-16552-3_27

Cited by 1 publication

(2 citation statements)

References 13 publications

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“…Syndactilisation involves anastomosing the affected flail toe to the adjacent toe for stability. 8 Implant arthroplasty and distraction arthrodesis restore toe length with the aim of achieving parabola and functional capacity of the digit through stabilisation and cosmesis. 1 – 4 …”

Section: Introductionmentioning

confidence: 99%

“…2,4 Syndactilisation involves anastomosing the affected flail toe to the adjacent toe for stability. 8 Implant arthroplasty and distraction arthrodesis restore toe length with the aim of achieving parabola and functional capacity of the digit through stabilisation and cosmesis. [1][2][3][4] Autografts is the gold standard for bone graft material due to its osteoconductive, osteoinductive and osteogenic properties, 9,10 and no risk of disease transmission or host rejection.…”

Section: Introductionmentioning

confidence: 99%

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Phalangeal autologous bone graft for flail digit subluxation: A case report

Uddin

Bramall

Santos

2022

SAGE Open Medical Case Reports

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A 70-year-old patient was referred for a surgical opinion with a flail digit. Flail digit occurs as a result of over resection to the head of the proximal phalanx beyond the surgical neck and proximally into the shaft. The patient was complaining of a symptomatic right fourth digit (pain 7/10 on a Visual Analogue Scale) that had previously undergone two failed hammer toe surgeries resulting in symptomatic plantar hyperkeratosis with no history of ulceration or infection. The patient was surgically managed with autologous bone graft harvested from an adjacent digit biphalangic phalanx. Six months postoperative, the patient presented asymptomatic. Anatomical alignment, digital stabilisation and function were achieved. Full autologous graft consolidation was confirmed radiographically. Favourable patient-reported outcomes using the Manchester–Oxford Foot Questionnaire showed improvement in all domains. Currently, there is no published case study or description utilising our surgical technique to treat flail digit deformity.

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