Effectiveness of minimally invasive surgery using incomplete phalangeal osteotomy for symptomatic curly toe of adults with a trapezoidal phalanx: An observational study.
curly toe
dismetric phalanx
incomplete phalangeal osteotomy (IPO)
minimal incision surgery
trapezoidal phalanx
unicortical osteotomy
varus toe
Journal
Frontiers in surgery
ISSN: 2296-875X
Titre abrégé: Front Surg
Pays: Switzerland
ID NLM: 101645127
Informations de publication
Date de publication:
2022
2022
Historique:
received:
09
06
2022
accepted:
29
08
2022
entrez:
7
10
2022
pubmed:
8
10
2022
medline:
8
10
2022
Statut:
epublish
Résumé
Digital 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. Between 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. A 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). Incomplete phalangeal osteotomy performed with minimally invasive surgery of the trapezoidal phalanges of curly toes of adults can improve alignment and AOFAS scale scores.
Sections du résumé
Background and aims
UNASSIGNED
Digital 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.
Methods
UNASSIGNED
Between 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.
Results
UNASSIGNED
A 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).
Conclusions
UNASSIGNED
Incomplete phalangeal osteotomy performed with minimally invasive surgery of the trapezoidal phalanges of curly toes of adults can improve alignment and AOFAS scale scores.
Identifiants
pubmed: 36204340
doi: 10.3389/fsurg.2022.965238
pmc: PMC9530244
doi:
Types de publication
Journal Article
Langues
eng
Pagination
965238Informations de copyright
© 2022 Ramírez-Andrés, Nieto-García, Nieto-González, Lopez-Ejeda and Ferrer-Torregrosa.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Foot Ankle Surg. 2021 Jul;27(5):539-542
pubmed: 32694077
J Bone Joint Surg Br. 1993 Jul;75(4):662-3
pubmed: 8331129
Foot Ankle Clin. 2011 Dec;16(4):621-45
pubmed: 22118234
Acta Orthop Belg. 2007 Jun;73(3):373-6
pubmed: 17715729
J Foot Ankle Surg. 2015 Jul-Aug;54(4):601-6
pubmed: 25746765
J Orthop Sci. 2021 Sep 6;:
pubmed: 34503899
Foot Ankle Clin. 2018 Mar;23(1):69-90
pubmed: 29362035
J Bone Joint Surg Br. 1951 Nov;33-B(4):539-42
pubmed: 14880572
J Foot Ankle Surg. 1995 Mar-Apr;34(2):220-2
pubmed: 7599623
Aust N Z J Surg. 1987 Jul;57(7):467-70
pubmed: 3475061
Clin Orthop Relat Res. 1977 Mar-Apr;(123):91-4
pubmed: 852200
J Plast Reconstr Aesthet Surg. 2007;60(12):1317-22
pubmed: 17392044
Foot Ankle Int. 2015 Sep;36(9):1089-94
pubmed: 25857938
Orthop Clin North Am. 2020 Jul;51(3):403-422
pubmed: 32498959
Foot Ankle Int. 1994 Jul;15(7):349-53
pubmed: 7951968
Proc R Soc Med. 1975 Aug;68(8):480-1
pubmed: 1202483
Clin Podiatr Med Surg. 2015 Jul;32(3):291-332
pubmed: 26117570
J Bone Joint Surg Br. 1984 Nov;66(5):770-1
pubmed: 6501376
Foot Ankle Spec. 2013 Apr;6(2):145-9
pubmed: 23439610
J Am Acad Orthop Surg. 2011 Aug;19(8):505-14
pubmed: 21807918
Foot Ankle Surg. 2021 Jan;27(1):60-65
pubmed: 32173282
Lancet. 1958 Aug 23;2(7043):398-400
pubmed: 13576819
Foot Ankle Surg. 2020 Feb;26(2):156-162
pubmed: 30737141
Foot Ankle Clin. 2016 Sep;21(3):527-50
pubmed: 27524704
J Orthop Surg Res. 2019 Sep 11;14(1):308
pubmed: 31511051
Acta Orthop Scand. 1992 Aug;63(4):451-4
pubmed: 1529701
Paediatr Child Health. 2007 Nov;12(9):755-9
pubmed: 19030460
Foot Ankle Surg. 2013 Jun;19(2):139-40
pubmed: 23548459