Treatment of Dynamic Claw Toe Deformity Through Lengthening of the Flexor Tendons of the Hallux and Toes at the Midfoot Level.

Autor: Mansur H; Department of Orthopaedics Surgery, Hospital Santa Helena and Hospital Regional do Gama, Distrito Federal, Brazil; Instituto Montenegro, Distrito Federal, Brazil., Lucas PPA; Department of Orthopaedics Surgery, Hospital Regional do Gama, Distrito Federal, Brazil., Maranho DA; Department of Orthopaedics Surgery, Hospital Sírio-Libanês, Brasilia, Brazil.
Jazyk: angličtina
Zdroj: Foot & ankle specialist [Foot Ankle Spec] 2024 Feb; Vol. 17 (1_suppl), pp. 6S-12S. Date of Electronic Publication: 2023 Dec 20.
DOI: 10.1177/19386400231218338
Abstrakt: The claw toe deformity is characterized by the flexion of interphalangeal joints (IPJs) with hyperextension of the metatarsophalangeal (MTP) joint. It can be flexible and reducible or rigid and irreducible, or dynamic. The most common cause of dynamic claw toes is a neurological disorder, like sequelae of an ischemic contracture of the muscle belly after a compartment syndrome. Most of the surgical techniques require multiple procedures and may be associated with complications such as toe stiffness, persisting metatarsalgia, and toe malalignment. The aim of this study is to present an option for the surgical treatment of the dynamic claw toe deformity, by simultaneous tenodesis and lengthening of the flexor hallucis longus (FHL) and flexor digitorum longus (FDL) tendons at Henry's knot through a single midfoot incision.Levels of Evidence: V; Therapeutic Study; Expert Opinion .
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE