Lesser toe deformities: Definition, pathogenesis, & options for surgical corre

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Orthopade. 2005 Jun 29

Lesser toe deformities: Definition, pathogenesis, and options for

surgical correction.

Arnold H.

Orthopadische Praxisklinik, Rehau.

Whereas in the past resection arthroplasty was - in analogy to hallux

valgus surgery - the preferred therapy to correct lesser toe

deformities, the point of view has undergone a change. Much interest

is directed toward functional aspects that require reconstructive

management. Whenever possible the integrity of joint play should be

saved.Above all the metatarsophalangeal joint of the lesser toes is

worth being preserved to prevent a severe disturbance of the

biomechanics of the foot. Tendon transfers and subtle corrective

osteotomies such as the Weil procedure allow restricting resection

procedures to contraction deformities.