Wedge osteotomy for curly toes gave better results than tendon transfer

Zafiropoulos, George; Henry, A.P.J.

doi:10.1016/0958-2592(94)90007-8

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…Bone surgery has been defended by numerous authors. Zafiropoulos and Henry found better results from bone straightening and less weakness with a wedge osteotomy, as did Kirschner wire ( 7 , 15 ). In 2015, Choi et al ( 2 ) performed a dorsolateral closing wedge-shaped resection arthroplasty, and in 2021, Lee et al ( 4 ) expressed a preference for minimally invasive techniques because of their better postoperative results.…”

Section: Discussionmentioning

confidence: 97%

“…Bone surgery has been defended by numerous authors. Zafiropoulos and Henry found better results from bone straightening and less weakness with a wedge osteotomy, as did Kirschner wire (7,15) Various authors have incorporated minimally invasive techniques with refrigeration, tourniquet, osteosynthesis, and rigid splinting (4,24,(33)(34)(35). During our study, we only performed unicortical osteotomy and bandaging, which showed good results (23).…”

Section: Discussionmentioning

confidence: 99%

“…Zafiropoulos and Henry ( 15 ) determined a value of 10° postoperatively as the limit when assessing varus persistence in curly toes. Choi recommended valgus surgical overcorrection of 10° to prevent recurrence ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…All adult patients diagnosed with semirigid/rigid curly toes using the Kelikian push-up test ( 14 ) underwent radiological examination to verify the presence of a trapezoidal phalanx ( 4 , 15 , 16 ). The absence of parallelism between the proximal and distal interphalangeal joints determines the angle proportional to the severity of the curly toe deformity ( 2 , 7 ).…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of minimally invasive surgery using incomplete phalangeal osteotomy for symptomatic curly toe of adults with a trapezoidal phalanx: An observational study

Ramírez-Andrés

Nieto-García²,

Nieto-González³

et al. 2022

Front. Surg.

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Background and aimsDigital deformity in flexion, varismus (external rotation), and adduction with the toe in both supraduction and infraduction are called clinocampodactyly or curly toe. All adult patients with symptoms and a diagnosis of semirigid/rigid curly toes underwent radiological examination to verify the presence of a trapezoidal phalanx. The purpose of this study was to quantitatively determine the degrees of improvement of a dysmetric phalanx after incomplete phalangeal osteotomy using minimally invasive surgery. The points of improvement were determined using the American Orthopedic Foot and Ankle Society (AOFAS) scale score.MethodsBetween May 2021 and June 2022, 30 patients diagnosed with curly toes underwent unicortical osteotomy of the affected phalanx. The convergence angle was measured and the AOFAS scale scores were compared.ResultsA total of 33 toes underwent surgery. The average reduction of the convergence angle was 9°. The average improvement in the AOFAS scale score was 53 points at 6 months and reached almost 90 points (89.9 ± 6.1 points).ConclusionsIncomplete phalangeal osteotomy performed with minimally invasive surgery of the trapezoidal phalanges of curly toes of adults can improve alignment and AOFAS scale scores.

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Section: Discussionmentioning

confidence: 97%

“…Bone surgery has been defended by numerous authors. Zafiropoulos and Henry found better results from bone straightening and less weakness with a wedge osteotomy, as did Kirschner wire (7,15) Various authors have incorporated minimally invasive techniques with refrigeration, tourniquet, osteosynthesis, and rigid splinting (4,24,(33)(34)(35). During our study, we only performed unicortical osteotomy and bandaging, which showed good results (23).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effectiveness of minimally invasive surgery using incomplete phalangeal osteotomy for symptomatic curly toe of adults with a trapezoidal phalanx: An observational study

Ramírez-Andrés

Nieto-García²,

Nieto-González³

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

show abstract

“…Sung et al 14 demonstrated that PIP resection arthroplasty provided adequate pain relief and radiographic sagittal plane correction for patients with hammer toe deformity. Zafiropoulos and Henry 18 indicated that wedge osteotomy of the middle phalanx to straighten curly toes of young adults produced better results than did tendon transfer. They suggested the presence of plantarflexion weakness after tendon transfer but not after osteotomy.…”

Section: Discussionmentioning

confidence: 99%