Modified double plantar plate tenodesis.
BACKGROUND
Metatarsophalangeal joint instability of the lesser toe can cause acquired toe deformity. Plantar plate deficiency is the major pathology. Plantar plate repair can stabilize the joint but may result in iatrogenic transverse plane toe deformity in correction of claw toe deformity. Limited toe extension can be resulted after correction of crossover toe deformity by plantar plate tenodesis and extensor digitorum brevis transfer. A modification of the technique is proposed.


METHODS
The clinical outcomes of 10 patients with the modified procedure performed were assessed.


RESULTS
The correction was full in all toes with no recurrence.


CONCLUSIONS
The modified technique can stabilize the metatarsophalangeal joint and correct lesser toe deformity without the need of tendon transfer, osteotomy or sophisticated instrumentation.
Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong Special Administrative Region. Electronic address: luithderek@yahoo.co.uk.
T H
TH
Lui
Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong Special Administrative Region. Electronic address: lucci@ort.cuhk.edu.hk.
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LL
LiYeung
D000328:Adult; D015331:Cohort Studies; D005260:Female; D037801:Hammer Toe Syndrome / Q000601:surgery*; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D008875:Middle Aged; D000069262:Plantar Plate / Q000601:surgery*; D053656:Tenodesis / Q000379:methods*; D016896:Treatment Outcome
Arthroscopy; Claw toe; Crossover toe; Plantar plate; Repair; Toe deformity