medigraphic.com
SPANISH

Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2005, Number 6

<< Back Next >>

Acta Ortop Mex 2005; 19 (6)

Surgical treatment of fifth toe supraductus of the foot. Original technique

López GE, Parra TP, Vázquez EJ, García AA
Full text How to cite this article

Language: Spanish
References: 13
Page: 255-258
PDF size: 89.24 Kb.


Key words:

osteotomy, toes, abnormalities, techniques.

ABSTRACT

Objective. To show that the Osteotomy designed at the Instituto Nacional de Rehabilitación (LP-INR) with a memory staple for the fifth toe supraductus Congenital deformity diminishes the weight bearing under the fifth metatarsal head descending the proximal phalanx keeps the articular integrity avoiding complications and pain. Material and methods. From December of 2002 to January of 2005, in 17 patients, 26 feet, male 11 (64.7%), female 6 (35.2%), patients with supraductus fifth toe deformity. The clinical scale of Maryland was applied at 3 months postoperative. The AOFAS scale was applied preoperative and postoperative from pain, gait an alignment. Results. Maryland scale was seen excellent in 14 patients (84.3%) good in one (5.8%) regular in one (5.8%) from 75 to 50 points, an fair in one patient (5.8%) . The AOFAS scale for forefoot at preoperative was 55 ± 8 and postoperative 90 ± 5. With a significantly Student t at the preoperative an postoperatively ‹ 0.05. Discussion. We concluded that the LP-INR Osteotomy for the treatment of the fifth toe supraductus Congenital deformity, provides a correct alignment diminishes the weight bearing over the fifth metatarsal head avoid tissue and bone resection that condition functional and esthetic complications.


REFERENCES

  1. Black GB, Butler: Arthroplasty for correction of the adducted fifth toe: a retrospective study of 36 operations between 1968 and 1982. JPO 1985; 5(4): 439-41.

  2. Cockin J: Butler´s operation for an over-riding fifth toe. JBJS 1968: (50B): 78-81.

  3. De palma L, Zanoli G: Zanoli´s procedure for overlapping fifth toe: retrospective study of 18 cases followed for 4-17 years. Acta Orthop Scand 1998; 69 (5): 505.

  4. Derhy Y: Congenital quintus varus supraductus: surgical procedure. Ann Chir Plast Esther 2004; 49(4): 373-7.

  5. Dyal CM, Davis WH, Thompson: Clinical evaluation of the Ruiz Mora procedure: long-term follow-up. Foot Ankle Int 1997; 18(2): 94-7.

  6. Enciclopedé Médico-Chirurgicale Podología. Tomo II: 200: 227.080-A-34:10-11.

  7. Janecki CJ: Results of phalangectomy of the fifth toe for hammertoe. The Ruiz Mora Procedure. JBJS Am 1976; 58(7): 1005-7,

  8. Kelikian: H: Hallux valgus allied deformities of the forefoot and metatarsalgia. 1a Ed. Philadelphia, Ed. W Saunders Company, 1965: 169-175.

  9. Núñez Samper, Llanos F: Biomecánica, Medicina y Cirugía del Pie, 1a edición, Barcelona, Ed. Masson, 2000: 247-49.

  10. Paton RW: V-Y plasty for correction of varus in the fifth toe. JPO 1990; 10(2): 248-9.

  11. Rao GS, James JH: Artificial syndactilization for congenital crossed toes. Br J Plast Surg 1987; 40(5): 502-4.

  12. Taiwil Hj, Piliard D, Taussig G: V-Y plasty in the correction of the varus of the fifth toe. Chir Orthop Reparatrice App Mot 1992; 78(2): 107-11.

  13. Viladot A: Quince lecciones sobre patología del antepié. 2a edición, Barcelona. Ed. Masson: 2000: 153-57.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Ortop Mex. 2005 Nov-Dic;19