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Surgical Techniques Development
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10.4081/std.2011.e27
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Surgical Techniques Development is published by MDPI from Volume 11 Issue 1 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Technical Note

Minimally Invasive Management of Dorsiflexion Contracture at the Metatarsophalangeal Joint and Plantarflexion Contracture at the Proximal Interphalangeal Joint of the Fifth Toe

by
Mariano de Prado
1,
Pedro-Luis Ripoll
2,
Pau Golanó
3,
Javier Vaquero
4 and
Nicola Maffulli
1,4,*
1
Department of Orthopaedics, Hospital USP San Carlos, 30011 Murcia, Spain
2
Department of Anatomy, University of Barcelona, 08007 Barcelona, Spain
3
Orthopaedic Surgery Department, Hospital Gregorio Marañon, 28007 Madrid, Spain
4
Nicola Maffulli, Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London E1 4DG, UK
*
Author to whom correspondence should be addressed.
Surg. Tech. Dev. 2011, 1(2), e27; https://doi.org/10.4081/std.2011.e27
Submission received: 16 June 2011 / Revised: 18 October 2011 / Accepted: 21 October 2011 / Published: 9 November 2011

Abstract

Several surgical options have been described to manage persistent dorsiflexion contracture at the metatarsophalangeal joint and plantarflexion contracture at the proximal interphalangeal joint of the fifth toe. We describe a minimally invasive technique for the management of this deformity. We perform a plantar closing wedge osteotomy of the 5th toe at the base of its proximal phalanx associated with a lateral condylectomy of the head of the proximal phalanx and at the base of the middle phalanx. Lastly, a complete tenotomy of the deep and superficial flexor tendons and of the tendon of the extensor digitorum longus is undertaken. Correction of cock-up fifth toe deformity is achieved using a minimally invasive approach.
Keywords: lesser toe abnormalities; osteotomy; fifth toe; minimally invasive surgery lesser toe abnormalities; osteotomy; fifth toe; minimally invasive surgery

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MDPI and ACS Style

de Prado, M.; Ripoll, P.-L.; Golanó, P.; Vaquero, J.; Maffulli, N. Minimally Invasive Management of Dorsiflexion Contracture at the Metatarsophalangeal Joint and Plantarflexion Contracture at the Proximal Interphalangeal Joint of the Fifth Toe. Surg. Tech. Dev. 2011, 1, e27. https://doi.org/10.4081/std.2011.e27

AMA Style

de Prado M, Ripoll P-L, Golanó P, Vaquero J, Maffulli N. Minimally Invasive Management of Dorsiflexion Contracture at the Metatarsophalangeal Joint and Plantarflexion Contracture at the Proximal Interphalangeal Joint of the Fifth Toe. Surgical Techniques Development. 2011; 1(2):e27. https://doi.org/10.4081/std.2011.e27

Chicago/Turabian Style

de Prado, Mariano, Pedro-Luis Ripoll, Pau Golanó, Javier Vaquero, and Nicola Maffulli. 2011. "Minimally Invasive Management of Dorsiflexion Contracture at the Metatarsophalangeal Joint and Plantarflexion Contracture at the Proximal Interphalangeal Joint of the Fifth Toe" Surgical Techniques Development 1, no. 2: e27. https://doi.org/10.4081/std.2011.e27

APA Style

de Prado, M., Ripoll, P. -L., Golanó, P., Vaquero, J., & Maffulli, N. (2011). Minimally Invasive Management of Dorsiflexion Contracture at the Metatarsophalangeal Joint and Plantarflexion Contracture at the Proximal Interphalangeal Joint of the Fifth Toe. Surgical Techniques Development, 1(2), e27. https://doi.org/10.4081/std.2011.e27

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