Clinical outcome after percutaneous flexor tenotomy in forefoot surgery

被引:16
作者
Debarge, Romain [1 ]
Philippot, Remy [2 ]
Viola, Jeremy [3 ]
Besse, Jean Luc [3 ]
机构
[1] Hop Croix Rousse, Ctr Albert Trillat, Dept Orthoped Surg, F-69300 Lyon Caluire, France
[2] Ctr Hosp & Univ St Etienne, Dept Orthoped Surg, F-42055 St Etienne 2, France
[3] Hosp Lyon Sud, Dept Orthoped Surg, F-69495 Pierre Benite, France
关键词
DEFORMITY; TOES;
D O I
10.1007/s00264-009-0721-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The aim of this study was to evaluate the outcome of the percutaneous flexor tenotomy. We compared the results of two groups. The first group included 23 patients who underwent forefoot surgery without percutaneous flexor tenotomy, and the second group included 50 patients who underwent the same procedure combined with percutaneous flexor tenotomy for claw toe deformities, secondary to shortening metatarsal Scarf osteotomy. The average follow-up was 11.6 months. Three algoneurodystrophies were noted. No delayed wound healing was observed. Functional dissatisfaction rate (18% vs. 17.4%) and toe pulp contact defect (12% vs. 8.7%) were not significantly different in the two groups. Toe grasping defect rate (10% vs. 4.3%) was superior in the tenotomy group. Five recurring claw toe deformities of the second toe were noted in the tenotomy group. Percutaneous flexor tenotomy is a simple, rapid, and efficient method to correct reducible secondary claw toe deformities. However, despite a significant postoperative loss of toe grasping function, no patient reported major dissatisfaction.
引用
收藏
页码:1279 / 1282
页数:4
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