[Treatment of capsulitis of little toe with minimal incisional osteotomy and manipulations].
OBJECTIVE
To study therapeutic effects of capsulitis of little toe treated with minimal incisional osteotomy and manipulations procedures.


METHODS
From 2003.7 to 2008.6, 90 patients (160 feet) with capsulitis of little toe including 3 male (5 foot) and 87 female (155 foot) ranging in age from 17 to 76 years(average of 49.2 years).The average medical history was 10.1 years ranging from 1 to 32 years. All patients with capsulitis of little toe were treated with minimal incisional osteotomy and manipulations procedures adopting the modified Coughlin standard to evaluation.


RESULTS
All patients were followed up, the duration of follow-up raunged from 3 to 36 months with averagement of 15.7 months. According to the modified Coughlin standard, 80 cases obtained an excellent result, 8 good, 2 fair and 0 poor, the effective rate was 97.8%. However,two patients were found delayed union after operation, the distal fragments healed following the time of fixation were delayed.


CONCLUSIONS
The treatment of capsulitis of little toe with minimal incisional osteotomy and manipulations procedures is easy to operate and its therapeutic effect is convincing.
Department of Arthrosis, Wangjing Hospital Affiliated to China Academy of Chinese Medical Sciences, Beijing 100102, China.
Si
S
Chen
Jian-min
JM
Wen
Wei-dong
WD
Sun
Chun-qiang
CQ
Bi
Yong-sheng
YS
Sun
Ke-wei
KW
Jiang
Zhao
Z
Liang
Ting
T
Cheng
Hai-wei
HW
Hu
D000293:Adolescent; D000328:Adult; D000368:Aged; D050489:Bunion, Tailor's / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010027:Osteotomy / Q000379:methods*; D014034:Toes / Q000601:surgery*