title: Clinical outcome after percutaneous flexor tenotomy in forefoot surgery.
abstract: The aim of this study was to evaluate the outcome of the percutaneous flexor tenotomy. We compared the results of two groups. The first group included 23 patients who underwent forefoot surgery without percutaneous flexor tenotomy, and the second group included 50 patients who underwent the same procedure combined with percutaneous flexor tenotomy for claw toe deformities, secondary to shortening metatarsal Scarf osteotomy. The average follow-up was 11.6 months. Three algoneurodystrophies were noted. No delayed wound healing was observed. Functional dissatisfaction rate (18% vs.17.4%) and toe pulp contact defect (12% vs. 8.7%) were not significantly different in the two groups. Toe grasping defect rate (10% vs. 4.3%) was superior in the tenotomy group. Five recurring claw toe deformities of the second toe were noted in the tenotomy group. Percutaneous flexor tenotomy is a simple, rapid, and efficient method to correct reducible secondary claw toe deformities. However, despite a significant postoperative loss of toe grasping function, no patient reported major dissatisfaction.
authors.affiliation: Department of Orthopedic Surgery, Centre Albert Trillat, Hôpital de la Croix Rousse, 8 rue de Margnolles, 69300, Lyon Caluire, France. r_debarge@hotmail.com
authors.forename: Romain
authors.initials: R
authors.lastname: Debarge
authors.forename: Rémy
authors.initials: R
authors.lastname: Philippot
authors.forename: Jérémy
authors.initials: J
authors.lastname: Viola
authors.forename: Jean Luc
authors.initials: JL
authors.lastname: Besse
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006214:Hallux / Q000503:physiopathology / Q000601:surgery; D006215:Hallux Valgus / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones; D008683:Metatarsophalangeal Joint / Q000601:surgery; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D017060:Patient Satisfaction; D011446:Prospective Studies; D013710:Tendons / Q000601:surgery*; D014111:Tourniquets; D016896:Treatment Outcome; D014945:Wound Healing; D055815:Young Adult