Gradual digital lengthening with autologous bone graft and external fixation for correction of flail toe in a patient with Raynaud's disease.
Iatrogenic flail toe is a complication of hammertoe surgery that occurs when an overaggressive resection of the proximal phalanx occurs. This can cause both functional and cosmetic concerns for the patient. We present a case report of the correction of a flail second toe in a patient with Raynaud's disease. The correction was achieved by means of gradual soft tissue lengthening with external fixation and an interposition autologous bone graft digital arthrodesis. After 5 months, this 2-stage procedure lengthened, stabilized, and restored the function of the toe.


METHODS
4.
Lamm
Bradley M
BM
Rubin Institute for Advanced Orthopedics, International Center for Limb Lengthening, Sinai Hospital of Baltimore, Baltimore, Maryland 21215, USA. blamm@lifebridgehealth.org
Ades
Joe K
JK
D000328:Adult; D001178:Arthroplasty / Q000009:adverse effects*; D001852:Bone Lengthening; D016025:Bone Transplantation; D005260:Female; D037801:Hammer Toe Syndrome / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery; D009984:Orthopedic Fixation Devices; D011928:Raynaud Disease / Q000150:complications* / Q000503:physiopathology; D014034:Toes / Q000601:surgery*; D014661:Vasoconstriction