title: Percutaneous correction of congenital overlapping fifth toe in paediatric patients.
abstract: The various available surgical methods for correcting congenital overlapping fifth toe deformity consistently require a skin plasty step, which can result in complications (necrosis, tight scar, unbecoming appearance). Here, we describe a percutaneous technique involving extensor tenotomy combined with release of the dorso-medial capsule and ligaments. No skin plasty is required. Percutaneous osteotomy of the first phalanx can be performed if needed. From 2006 to 2010, we used this technique in 16 patients (27 toes) with a mean age of 12.6years (range, 6-17years). Mean follow-up at last evaluation was 2.1 years. Osteotomy of the first phalanx was performed for 13 toes. The outcome was very good for 21 toes and good for six toes. No relapses or complications were recorded. This simple and safe technique deserves consideration in children with congenital overlapping fifth toe.
authors.affiliation: Service de chirurgie orthopédique, CHU Toulouse Rangueil, 1, avenue du Professeur-Jean-Poulhès, 31059 Toulouse cedex 9, France. Electronic address: murgier.jerome@hotmail.fr.
authors.forename: J
authors.initials: J
authors.lastname: Murgier
authors.forename: J
authors.initials: J
authors.lastname: Knörr
authors.forename: F
authors.initials: F
authors.lastname: Soldado
authors.forename: X
authors.initials: X
authors.lastname: Bayle-iniguez
authors.forename: J
authors.initials: J
authors.lastname: Sales de Gauzy
mesh_terms: D000293:Adolescent; D002648:Child; D015331:Cohort Studies; D005260:Female; D005532:Foot Deformities, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010027:Osteotomy / Q000379:methods*; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D013709:Tendon Transfer / Q000379:methods*; D014034:Toes / Q000002:abnormalities* / Q000601:surgery; D016896:Treatment Outcome
keywords: Congenital malformation of the forefoot; Overlapping fifth toe; Percutaneous surgery