title: Lesser-metatarsal medial displacement osteotomy for the treatment of digital transverse plane deformities.
abstract: We sought to evaluate the clinical and radiographic outcomes in patients treated with a medial displacement transverse osteotomy of the second metatarsal to correct transverse hammer toe deformities. Eighteen patients underwent 20 procedures in 3 years. Each patient had a transverse plane deformity of the second metatarsophalangeal joint. Evaluation consisted of clinical examination, radiographic examination, and self-reported pain and function parameters. Mean +/- SD follow-up was 2.5 +/- 1.0 years. Radiographic joint congruence improved from 20% before surgery to 95% after surgery. Clinical examination revealed a rectus digit in 85% of cases, a transverse plane deviation in 10%, and a residual hammer toe deformity in 5%. At follow-up, the mean +/- SD visual analog scale score for pain with activity was 2.2 +/- 2.8 and for pain at rest was 0.6 +/- 1.4. Ninety-five percent of the patients said that they would undergo the procedure again. Medial displacement osteotomy for transverse plane deformity of the second metatarsophalangeal joint is a reliable procedure, with substantial improvement in joint congruence and self-reported pain.
authors.affiliation: Department of Surgery, Division of Podiatry, Scott & White Memorial Hospital and Clinic and Scott, Sherwood and Brindley Foundation, Texas A&M University System Health Science Center, College of Medicine, Temple, USA.
authors.forename: W Preston
authors.initials: WP
authors.lastname: Goforth
authors.forename: Troy D
authors.initials: TD
authors.lastname: Overbeek
authors.forename: Richard D
authors.initials: RD
authors.lastname: Odom
authors.forename: Tommy G
authors.initials: TG
authors.lastname: Roe
authors.forename: Douglas K
authors.initials: DK
authors.lastname: McDonald
mesh_terms: D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005530:Foot Deformities / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D010147:Pain Measurement; D017060:Patient Satisfaction