Use of skin Z-plasty for management of extension contracture in recurrent claw- and hammertoe deformity.
Nine patients with recurrent metatarsophalangeal joint extension contracture after clawtoe or hammertoe procedures were treated with Z-plasty skin closures as part of the revision surgical procedure. The indication for performing the Z-plasty was the presence of scar contracture in the skin that prevented satisfactory correction of the toe. Soft tissue release of the metatarsophalangeal joint was followed by a simple dorsal skin Z-plasty transposition. Patients were evaluated 1 1/2 to 6 years after revision surgery. No recurrence of the extension contracture had occurred.
Union Memorial Hospital, Baltimore, Maryland.
M S
MS
Myerson
P
P
Fortin
P
P
Girard
D017885:Collateral Ligaments / Q000601:surgery; D003286:Contracture / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D005530:Foot Deformities / Q000601:surgery*; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D012008:Recurrence; D013524:Surgical Flaps / Q000379:methods*; D013710:Tendons / Q000601:surgery; D014034:Toes / Q000601:surgery*