Resection Arthroplasty on Lessor Toe Deformity

Ji Hoon Kim; Hyung Jun Park; Jin Soo Suh

doi:10.14193/jkfas.2014.18.4.153

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Kim, Park, and Suh: Resection Arthroplasty on Lessor Toe Deformity

Original Article

J Korean Foot Ankle Soc 2014;18(4):153-158.

Published online: 19 January 2014

DOI: https://doi.org/10.14193/jkfas.2014.18.4.153

Resection Arthroplasty on Lessor Toe Deformity

Ji Hoon Kim, Hyung Jun Park, Jin Soo Suh

Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea

Corresponding Author: Jin Soo Suh Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang 411-706, Korea Tel: 82-31-910-7968, Fax: 82-31-910-7967, E-mail: sjs0506@paik.ac.kr

Received 13 June 201430 October 2014 Accepted 30 October 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose:

The objective of this study was to examine the clinical results and effectiveness of resection arthroplasty for correction of lesser toe deformity.

Materials and Methods:

From January 2000 to November 2012, 92 cases of resection arthroplasty for lesser toe deformity were reviewed. Hammer toe was the most common type of deformity, accounting for 44 toes (33 patients). Hallux valgus was the most common comorbid illness. Second toe was the most commonly affected toe and proximal interphalangeal joint was the most common location of resection arthroplasty (69 toes, 75.0%). We also analyzed the alignment of phalanges using the last follow-up weight bearing radiographic image. The analysis included clinical evaluation with American Orthopaedic Foot and Ankle Society (AOFAS) score as well as subjective satisfaction.

Results:

Flexor tenotomy (19 cases) was the most common combined surgery. Floating toe (4 cases) was the most common complication. The last follow-up alignment of phalanges was better than good in 71 toes (77.2%) in anteroposterior view and in 69 toes (75.0%) in lateral view. Sixty one cases (85.9%) resulted in better satisfaction than ‘good’ and the final average AOFAS score was 87.4.

Conclusion:

Resection arthroplasty is a valuable surgical option for treatment of lesser toe deformity, with high patient satisfaction, easy surgical technique and remarkable correction of deformity.

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Keywords: Lesser toe, Deformity, Resection arthroplasty

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Figure 1.

(A) On weight bearing anteropos-terior:anteroposterior alignment:angle between distal and proximal phalanx of resection arthroplasty. (B) On weight bearing lateral:lateral alignment:angle between distal and proximal phalanx of resection arthroplasty.

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Figure 2.

Length defference was measured by pre- and postoperation X-ray.

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Figure 3.

Floating toe deformity. Pulp of the toe did not contact the ground when the patient was standing.

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Figure 4.

Reverse mallet toe deformity was developed after correction of mellet toe deformity by resection arthroplasty of distal interphalangeal joint of 3rd toe.

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