[Quintus varus supraductus. Results of the surgical treatment by cutaneous graft, internal capsulotomy and external transfer of the extensor of the 5th toe].
The overlapping fifth toe has often a congenital origin. It may be isolated or associated with an another pathology, congenital or acquired, but the relationship between them. Cannot be ascertained. The overlapping fifth toe is responsible for an esthetic deficit and/or a functional discomfort, it justifies a correct surgery. Twenty-one feet in 16 patients aged from 2 to 30 years (especially between 5 and 15 years) have been operated on and reviewed after a mean follow-up of 4 years. The technic associated a cutaneous dorsal Z-plasty on the cutaneous retraction a medial and dorsal capsulotomy of the metatarso-phalangeal joint, an external transfer of the fifth extensor tendon or its tenotomy and, in 10 cases, a plantar skin resection 19 results were excellent, one fair result and one failure. The condition of a stable result seems to be based on a complete and spontaneous correction of the deformity at the end of the operation.
Tawil
H J
HJ
Service de Chirurgie Orthopédique et Rééducation Pédiatrique, Institut National de Réadaptation, St-Maurice.
Pilliard
D
D
Taussig
G
G
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D013709:Tendon Transfer / Q000379:methods; D013710:Tendons / Q000601:surgery; D014033:Toe Joint / Q000601:surgery; D014034:Toes / Q000002:abnormalities* / Q000601:surgery
Le quintus varus supraductus. Résultats du traitement chirurgical par plastie cutanée, capsulotomie interne et transfert externe de l'extenseur du 5e orteil.