[Treatment of claw toes deformity].
BACKGROUND
Within pathologic alterations that affect foot and ankle, claw toes deformity is one of the most frequent with an incidence of 20%. There are many surgical options to treat this deformity reported in literature.


OBJECTIVE
To show clinical experience of the Orthopedic Department of Hospital "Victorio de la Fuente Narváez" in lesser toes claw deformity treated with resection of the proximal interphalangic joint, as a treatment for alignment and better function.


METHODS
We performed a retrospective clinical trial, in the period between January 2001 and December 2003 with a mean follow up of 14 months. Twenty three patients were included (43 fingers) 17 female and 6 male (mean age 54) bilateral deformity in 7 patients (19 fingers) unilateral in 16 patients (24 fingers); the most commonly affected finger was the second (55.8%). Clinical and radiographic diagnosis were made. Surgical treatment indication was determined in relation to functional impairment, type of shoe used and concomitant pathology. Functional assessment was done with AOFAS scale and a visual analogue scale.


RESULTS
Satisfactory results were reported in 18 patients (78.3%), not entirely satisfactory results 3 patients (13%) and not satisfactory results in 2 patients (8.7%).


CONCLUSIONS
Accordingly with the results obtained we can conclude that the surgical technique is simple and effective in treatment of lesser toes claw deformity, returning function and morphology of the forefoot.
Pastrana García
Francisco
F
Servicio de Ortopedia Mixta, Hospital de Ortopedia "Dr. Victorio de la Fuente Narváez", IMSS, Colector 15 esquina Politécnico, Col. Magdalena de las Salinas, México DF. C.P. 07760. pagafco59@yahoo.com.mx
Olivares Gutiérrez
Jorge
J
Bárcena Jiménez
Lorenzo R
LR
Fuentes Nucamendi
Marcos A
MA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001178:Arthroplasty / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014034:Toes / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult