Second phalanx shortening osteotomy. An innovative technique for long second toe syndrome

Orthop Traumatol Surg Res. 2014 Jun;100(4):433-6. doi: 10.1016/j.otsr.2014.02.005. Epub 2014 Apr 29.

Abstract

Long second-toe syndrome, although frequent and disabling, has been little described. Current surgical techniques often lead to loss of function. Based on anatomical and biomechanical observations, the present study reports a second phalanx shortening osteotomy technique. The procedure is relatively non-invasive, involving self-stabilizing segment resection osteotomy of the second phalanx. Results for the first 23 feet undergoing the procedure were analyzed retrospectively. Assessment comprised clinical examination, radiography and AOFAS and FAAM scores. Mean follow-up was 19±9.9 months. Second phalanx shortening osteotomy proved reliable, respecting the biomechanics of the toe.

Keywords: Osteotomy; Second phalanx; Toe.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Osteotomy / methods*
  • Radiography
  • Toe Phalanges / abnormalities
  • Toe Phalanges / diagnostic imaging
  • Toe Phalanges / surgery*