title: Flexor digitorum brevis tendon transfer to the flexor digitorum longus tendon according to Valtin in posttraumatic flexible claw toe deformity due to extrinsic toe flexor shortening.
abstract: Claw toe deformity after posterior leg compartment syndrome is rare but incapacitating. When the mechanism is flexor digitorum longus (FDL) shortening due to ischemic contracture of the muscle after posterior leg syndrome, a good treatment option is the Valtin procedure in which the flexor digitorum brevis (FDB) is transferred to the FDL after FDL tenotomy. The Valtin procedure reduces the deformity by lengthening and reactivating the FDL. Here, we report the outcomes of FDB to FDL transfer according to Valtin in 10 patients with posttraumatic claw toe deformity treated a mean of 34 months after the injury. Toe flexion was restored in all 10 patients, with no claw toe deformity even during dorsiflexion of the ankle.
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital de Meaux, 6 bis, rue Saint-Fiacre, 77100 Meaux, France.
authors.forename: H
authors.initials: H
authors.lastname: Gonçalves
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital de Meaux, 6 bis, rue Saint-Fiacre, 77100 Meaux, France. Electronic address: charles.kajetanek@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Kajetanek
authors.affiliation: Service de chirurgie orthopédique et traumatologique, groupe hospitalier Diaconesses-Croix Saint-Simon, 125, rue d'Avron, 75020 Paris, France.
authors.forename: W
authors.initials: W
authors.lastname: Graff
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital de Meaux, 6 bis, rue Saint-Fiacre, 77100 Meaux, France.
authors.forename: M
authors.initials: M
authors.lastname: Thiongo
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital de Meaux, 6 bis, rue Saint-Fiacre, 77100 Meaux, France.
authors.forename: C
authors.initials: C
authors.lastname: Laporte
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016512:Ankle Injuries / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D005260:Female; D005530:Foot Deformities / Q000209:etiology / Q000601:surgery*; D037801:Hammer Toe Syndrome / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D016059:Range of Motion, Articular; D013709:Tendon Transfer / Q000379:methods*; D014034:Toes / Q000293:injuries / Q000601:surgery*; D055815:Young Adult
keywords: Claw toe deformity; Compartment syndrome; Flexor digitorum brevis; Flexor digitorum longus; Tendon transfer