Flexor tenodesis procedure in the treatment of lesser toe deformities

Cesar de Cesar Netto; Eli L Schmidt; Matthieu Lalevee; Nacime Salomao Barbachan Mansur

doi:10.1007/s00402-021-03942-9

Flexor tenodesis procedure in the treatment of lesser toe deformities

Arch Orthop Trauma Surg. 2022 Nov;142(11):3125-3137. doi: 10.1007/s00402-021-03942-9. Epub 2021 May 11.

Authors

Cesar de Cesar Netto¹, Eli L Schmidt², Matthieu Lalevee², Nacime Salomao Barbachan Mansur^{2

3}

Affiliations

¹ Department of Orthopaedic and Rehabilitation,Carver College of Medicine, University of Iowa, 200 Hawkins Dr, John Pappan John Pavillion (JPP), Room 01066, Lower Level, Iowa City, IA, 52242, USA. cesar-netto@uiowa.edu.
² Department of Orthopaedic and Rehabilitation,Carver College of Medicine, University of Iowa, 200 Hawkins Dr, John Pappan John Pavillion (JPP), Room 01066, Lower Level, Iowa City, IA, 52242, USA.
³ Department of Orthopedics and Traumatology, Paulista School of Medicine, Federal University of Sao Paulo, Sao Paulo, SP, Brazil.

Abstract

In this technical report study, we describe the use of a flexor tenodesis procedure in the treatment of lesser toe deformities (LTD). Using a specific implant, both the flexor digitorum longus and brevis tendons are attached to the plantar aspect of the proximal phalanx, allowing dynamic correction of flexible deformities of metatarsophalangeal and interphalangeal joints. Good clinical results and absence of complications were observed in a series of 3 patients, with considerable correction of the LTD, and absence of substantial residual floating toe or metatarsophalangeal joint stiffness. LEVEL OF EVIDENCE: V - Technical Report/Case Report/Expert Opinion.

Keywords: Hammertoe; Hammertoe deformity; Tendon transfer; Tenodesis; Toe deformity.

Publication types

Case Reports

MeSH terms

Foot Deformities* / surgery
Humans
Tendon Transfer / methods
Tendons / surgery
Tenodesis*
Toes / surgery