title: Extensor Digitorum Brevis Transfer Technique to Correct Multiplanar Deformity of the Lesser Digits.
abstract: Lesser digital deformities may present a surgical challenge to even the most skilled foot and ankle surgeon. Multiplanar toe deformities, including the crossover toe, are especially difficult to correct with reproducible results. Undercorrection, pain, stiffness, and recurrent deformity are well reported throughout foot and ankle literature. The goal of this article is to describe a method of correcting digital deformity utilizing the extensor digitorum brevis tendon transfer and a biotenodesis screw. The controlled tension established with the extensor tendon provides the necessary stability for multiplanar correction of multiplanar digital deformities. This technical tip article should serve as pilot study for future evaluation of this method of correction.
  
  
  METHODS
  Level IV: Case series.
authors.affiliation: Foot and Ankle Surgery, University of Pittsburgh Medical Center, Mercy Health Center, Pittsburgh, Pennsylvania (KBH)Division of Foot and Ankle Surgery, Rehabilitation Science and Technology, UPMC Mercy Center for Healing and Amputation Prevention & Comprehensive Foot and Ankle Center, Mercy Health Center, Pittsburgh, Pennsylvania (DKW)Division of Foot and Ankle Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (JM) hobizalkb@upmc.edu.
authors.forename: Kimberlee B
authors.initials: KB
authors.lastname: Hobizal
authors.affiliation: Foot and Ankle Surgery, University of Pittsburgh Medical Center, Mercy Health Center, Pittsburgh, Pennsylvania (KBH)Division of Foot and Ankle Surgery, Rehabilitation Science and Technology, UPMC Mercy Center for Healing and Amputation Prevention & Comprehensive Foot and Ankle Center, Mercy Health Center, Pittsburgh, Pennsylvania (DKW)Division of Foot and Ankle Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (JM).
authors.forename: Dane K
authors.initials: DK
authors.lastname: Wukich
authors.affiliation: Foot and Ankle Surgery, University of Pittsburgh Medical Center, Mercy Health Center, Pittsburgh, Pennsylvania (KBH)Division of Foot and Ankle Surgery, Rehabilitation Science and Technology, UPMC Mercy Center for Healing and Amputation Prevention & Comprehensive Foot and Ankle Center, Mercy Health Center, Pittsburgh, Pennsylvania (DKW)Division of Foot and Ankle Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (JM).
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Manway
mesh_terms: D000328:Adult; D001863:Bone Screws; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D013709:Tendon Transfer / Q000379:methods*; D014034:Toes / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: biotenodesis; digital deformity; extensor digitorum brevis (EDB); second toe; tendon transfer