title: Opinions on lesser toe deformities among Dutch orthopaedic departments.
abstract: BACKGROUND
  Wide variations in definitions of lesser toe deformities exist. In addition, a general consensus regarding treatment of lesser toe deformities is lacking. The objective of this study was to evaluate of the definitions, current concepts, and treatment protocols for lesser toe deformities among orthopaedic departments in The Netherlands.
  
  
  METHODS
  A questionnaire with statements regarding lesser toe deformities was sent to all 101 Dutch departments of orthopaedic surgery.
  
  
  RESULTS
  In total 76 (75%) completed forms were analyzed. A wide variation regarding definitions, concepts, and treatment strategies of lesser toe deformities was reported among the Dutch orthopaedic departments. Only half of all responding departments had a protocol or consensus in the treatment.
  
  
  CONCLUSIONS
  The definitions of lesser toe deformities used in Dutch orthopaedic departments do not coincide. This might explain the variations in indications and the various performed interventions for different deformities. The differences of opinion among the Dutch orthopaedic departments may have important clinical consequences because an indication for surgery depends on the correct diagnosis. To correctly interpret and improve treatment results, a consensus on this topic should be introduced.
authors.affiliation: Department of Orthopaedic Surgery and Traumatology, Isala Clinics (Weezenlanden Hospital), Zwolle, The Netherlands.
authors.forename: Joost C M
authors.initials: JC
authors.lastname: Schrier
authors.forename: Jan Willem
authors.initials: JW
authors.lastname: Louwerens
authors.forename: Cees C P M
authors.initials: CC
authors.lastname: Verheyen
mesh_terms: D000671:Amputation, Surgical; D001174:Arthrodesis; D001178:Arthroplasty; D001291:Attitude of Health Personnel; D002985:Clinical Protocols; D032921:Consensus; D005530:Foot Deformities / Q000145:classification* / Q000175:diagnosis / Q000601:surgery; D037801:Hammer Toe Syndrome / Q000145:classification / Q000601:surgery; D006748:Hospital Departments; D006801:Humans; D008683:Metatarsophalangeal Joint / Q000473:pathology; D009426:Netherlands; D019637:Orthopedic Procedures / Q000145:classification; D009985:Orthopedics; D010027:Osteotomy; D016059:Range of Motion, Articular / Q000502:physiology; D011795:Surveys and Questionnaires; D013710:Tendons / Q000601:surgery; D014033:Toe Joint / Q000473:pathology; D014034:Toes / Q000473:pathology*