The common types of hammertoe deformities affecting the fi fth toe include adductovarus deformity, claw toe, overlapping toe, and clindodactyly. Very few of these cases would do well with just a simple arthroplasty.
Clinical and radiological outcomes of midfoot derotational osteotomy ...
2017年5月1日 · From 2006 to 2014, 6 patients (7 feet) underwent midfoot derotational osteotomy. A visual analog scale (VAS) pain and the American Orthopedic Foot & Ankle Society (AOFAS) functional score were evaluated. Radiographic parameters, including tibiocalcaneal angle (TCA) and navicular height (NH), were assessed.
Surgical procedure: a diaphyseal or distal osteotomy is the suggested surgical treatment of this deformity (Fig. 5). Type III, the most common in Coughlin’s series, is characterized by an increased 4–5 IM angle, with divergence of the fourth and fifth metatarsals. The average 4–5 IM angle is 6.2 "(range 3 –11 ). In symptomatic patients ...
Revisiting the Tailor’s Bunion and Adductovarus Deformity of the Fifth ...
Proximal fifth metatarsal base osteotomies are used to reduce increased 4–5 IM angles. The osteotomy configurations described include closing and opening base wedges, crescent-shaped in the sagittal and transverse planes.
Derotation arthroplasty is the time-tested procedure for the repair of a symptomatic adductovarus deformity of the fifth toe. However, the procedure can result in an unstable floppy toe.
Stabilization of Fifth Digit Derotation Arthroplasty With an …
2015年5月13日 · Derotation arthroplasty is the time-tested procedure for the repair of a symptomatic adductovarus deformity of the fifth toe. However, the procedure can result in an unstable floppy toe. A technique is described to stabilize this arthroplasty using an absorbable poly-l-lactic acid pin.
Clinical and radiological outcomes of midfoot derotational osteotomy ...
Conclusion: Severe midfoot-forefoot varus deformities can be efficiently corrected by midfoot derotational osteotomy resulting in favorable clinical and radiological outcomes and high patient satisfaction. Level of evidence: IV, case series.
Metatarsus adductus is a common transverse plane congenital foot deformity. Achieving anatomic correction can be challenging, as all osteotomy procedures have a steep learning curve. A multitude of complications can occur when using traditional …
Case #20: Management of Adductocavovarus Foot Deformity
2022年9月9日 · Management of talar neck osteotomy requires care to preserve the talar neck blood supply. A medial incision is utilized and dissection is carried to the proximal neck to avoid the nutrient artery that travels to the distal neck.
Fifth Metatarsal Osteotomies - Clinics in Podiatric Medicine and …
The fifth ray excessively pronates, leading to a progressive deformity that is accompanied by the fifth toe seeking an adductovarus position. 2–4 The condition can also occur as a result of a structural deformity with both plantar flexion and abduction of the fifth ray, producing a plantar keratosis as well as a bunionette deformity.