Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Resection Arthroplasty on Lessor Toe Deformity

소족지 변형에서 시행한 관절 절제 성형술

  • Kim, Ji Hoon (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Park, Hyung Jun (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Suh, Jin Soo (Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine)
  • 김지훈 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 박형준 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 서진수 (인제대학교 의과대학 일산백병원 정형외과학교실)
  • Received : 2014.06.13
  • Accepted : 2014.10.30
  • Published : 2014.12.15
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Abstract

Purpose: The objective of this study was to examine the clinical results and effectiveness of resection arthroplasty for correction of lesser toe deformity. Materials and Methods: From January 2000 to November 2012, 92 cases of resection arthroplasty for lesser toe deformity were reviewed. Hammer toe was the most common type of deformity, accounting for 44 toes (33 patients). Hallux valgus was the most common comorbid illness. Second toe was the most commonly affected toe and proximal interphalangeal joint was the most common location of resection arthroplasty (69 toes, 75.0%). We also analyzed the alignment of phalanges using the last follow-up weight bearing radiographic image. The analysis included clinical evaluation with American Orthopaedic Foot and Ankle Society (AOFAS) score as well as subjective satisfaction. Results: Flexor tenotomy (19 cases) was the most common combined surgery. Floating toe (4 cases) was the most common complication. The last follow-up alignment of phalanges was better than good in 71 toes (77.2%) in anteroposterior view and in 69 toes (75.0%) in lateral view. Sixty one cases (85.9%) resulted in better satisfaction than 'good' and the final average AOFAS score was 87.4. Conclusion: Resection arthroplasty is a valuable surgical option for treatment of lesser toe deformity, with high patient satisfaction, easy surgical technique and remarkable correction of deformity.

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References

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