title: Correction of scar contracture deformities of the big toe with a multiplanar distraction device.
abstract: A multiplanar distraction device was used in a 65-year-old woman for correction of multiplanar deformities of her right big toe. These deformities were caused by long-standing scar contracture after a crushing injury to the right foot. Without the necessity of other complicated procedures, the dorsal contracture and lateral deviation were corrected from 43 deg to 0 deg and from 22 deg to 0 deg respectively 3 weeks postoperatively. Kirschner wires were inserted temporarily for prevention of recurrence after removal of the frame, and were removed 6 weeks later. In follow-up after 8 months, the position of the big toe was stable and without recurrence of contracture. Application of the multiplanar distraction device simplified the surgical procedure to achieve this correction.
authors.affiliation: Department of Surgery, Chung-Ho Memorial Hospital, Kaohsiung Medical University, Taiwan.
authors.forename: S D
authors.initials: SD
authors.lastname: Lin
authors.forename: C C
authors.initials: CC
authors.lastname: Tsai
authors.forename: T M
authors.initials: TM
authors.lastname: Lin
authors.forename: S S
authors.initials: SS
authors.lastname: Lee
mesh_terms: D000368:Aged; D001864:Bone Wires; D002921:Cicatrix / Q000628:therapy*; D003286:Contracture / Q000628:therapy*; D016267:External Fixators; D005260:Female; D005531:Foot Deformities, Acquired / Q000628:therapy*; D006801:Humans; D014034:Toes / Q000293:injuries*