Scholarlink

Background <p>Minimally invasive techniques have substantially changed the surgical management of lesser toe deformities. The therapeutic objective is a&#xa0;tissue-sparing correction that restores function, improves alignment, and achieves a&#xa0;favorable cosmetic result with minimal surgical morbidity. Indication for surgery requires a&#xa0;detailed clinical assessment of the deformity at the metatarsophalangeal, proximal interphalangeal, and distal interphalangeal joints, including the affected plane, severity, and degree of flexibility or rigidity.</p> Operative strategy <p>The operative strategy is based on a&#xa0;sequential concept combining soft-tissue and osseous procedures as required. Percutaneous tenotomies and capsulotomies may be supplemented by minimally invasive phalangeal osteotomies, proximal and distal interphalangeal joint arthrodeses, exostosis and condylar resections, and distal minimally invasive metatarsal osteotomies, allowing multiplanar correction. Internal fixation is usually not required, as postoperative alignment is maintained by corrective taping.</p> Results <p>Minimally invasive correction of lesser toe deformities provides effective realignment with low complication rates and allows early functional postoperative management. In severe, rigid, or dislocated deformities, combined open procedures may remain necessary.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Minimalinvasive Kleinzehenchirurgie

  • 期刊论文

  • 发表日期：

    2026年7月16日

查看全文
  • Dariusch Arbab,
  • Natalia Gutteck,
  • Bertil Bouillon

摘要

Background

Minimally invasive techniques have substantially changed the surgical management of lesser toe deformities. The therapeutic objective is a tissue-sparing correction that restores function, improves alignment, and achieves a favorable cosmetic result with minimal surgical morbidity. Indication for surgery requires a detailed clinical assessment of the deformity at the metatarsophalangeal, proximal interphalangeal, and distal interphalangeal joints, including the affected plane, severity, and degree of flexibility or rigidity.

Operative strategy

The operative strategy is based on a sequential concept combining soft-tissue and osseous procedures as required. Percutaneous tenotomies and capsulotomies may be supplemented by minimally invasive phalangeal osteotomies, proximal and distal interphalangeal joint arthrodeses, exostosis and condylar resections, and distal minimally invasive metatarsal osteotomies, allowing multiplanar correction. Internal fixation is usually not required, as postoperative alignment is maintained by corrective taping.

Results

Minimally invasive correction of lesser toe deformities provides effective realignment with low complication rates and allows early functional postoperative management. In severe, rigid, or dislocated deformities, combined open procedures may remain necessary.