Transfer of the flexor digitorum longus for the correction of lesser-toe deformities

Background: This study reviewed the results, complications, and patient satisfaction rates of a modified technique of flexor-to-extensor tendon transfer for correction of lesser-toe deformities. Methods: Records of 38 patients (79 toes; 46 feet) were identified and reviewed retrospectively. The mean duration of clinical followup was 33 (range 6 to 121) months. The average age of patients was 65 (range 27 to 82) years; 32 were women (84%) and six were men. Results: In 89% of the toes (70 toes; 34 patients; 42 feet) patients were satisfied with the procedure and would have it again. Conclusions: The technique described for flexor-to-extensor transfer for correction of lesser-toe deformities resulted in few complications, no "floating" toes and high patient satisfaction.