Background: This study reviewed the results, complications, and patient satisfaction rates of a modified technique of flexor-to-extensor tendon transfer for correction of lesser-toe deformities. Methods: Records of 38 patients (79 toes; 46 feet) were identified and reviewed retrospectively. The mean duration of clinical followup was 33 (range 6 to 121) months. The average age of patients was 65 (range 27 to 82) years; 32 were women (84%) and six were men. Results: In 89% of the toes (70 toes; 34 patients; 42 feet) patients were satisfied with the procedure and would have it again. Conclusions: The technique described for flexor-to-extensor transfer for correction of lesser-toe deformities resulted in few complications, no “floating” toes and high patient satisfaction.
AlvineFGGarvinKL: Peg and dowel fusion of the proximal interphalangeal joint.Foot Ankle1:90–94, 1980.
2.
BarbariSGBrevigK: Correction of clawtoes by the Girdlestone-Taylor flexor-extensor transfer procedure.Foot Ankle.5:67–73, 1984.
3.
CahillBRConnorDE: A long-term follow-up on proximal phalangectomy for hammer toes.Clin. Orthop.86:191–192, 1972.
4.
CateriniRFarsettiPTarantinoUPotenzaVIppolitoE: Arthrodesis of the toe joints with an intramedullary cannulated screw for correction of hammertoe deformity.Foot Ankle Int.25:256–261, 2004.
5.
ConklinMJSmithRW: Treatment of the atypical lesser toe deformity with basal hemiphalangectomy.Foot Ankle Int.15:585–594, 1994.
6.
CooperPS: Disorders and deformities of the lesser toes. In: MyersonMS, ed: Foot and ankle disorders. Vol. 1. W.B. Saunders Company, Philadelphia, pp. 308–358, 2000.
7.
CoughlinMJ: Mallet toes, hammer toes, claw toes, and corns: causes and treatment of lesser-toe deformities.Postgrad. Med.75:191–198, 1984.
8.
CoughlinMJ: Lesser toe deformities.Orthopedics.10:63–75, 1987.
9.
CoughlinMJ: Subluxation and disclocation of the second metatarsophalangeal joint.Orthop. Clin. North Am.20:535–551, 1989.
10.
CoughlinMJ: Second metatarsophalangeal joint instability in the athlete.Foot Ankle.14:309–319, 1993.
11.
CoughlinMJ: Operative repair of the mallet toe deformity.Foot Ankle Int.16:109–116, 1995.
12.
CoughlinMJDorrisJPolkE: Operative repair of the fixed hammertoe deformity.Foot Ankle Int.21:94–104, 2000.
13.
CoughlinMJMannRA: Lesser toe deformities. In: CoughlinMJMannRA; eds: Surgery of the foot and ankle. 7th Ed., Vol. 1. Mosby, St. Louis, pp. 320–391, 1999.
14.
DalyPJJohnsonKA: Treatment of painful sublaxation or dislocation at the second and third metatarsophalangeal joints by partial proximal phalanx excision and subtotal webbing.Clin. Orthop.278:164–170, 1992.
FortinPTMyersonMS: Second metatarsophalangeal joint instability.Foot Ankle Int.16:306–313, 1995.
17.
GallentineJWDeOrioJK: Removal of the second toe for severe hammertoe deformity in elderly patients.Foot Ankle Int.26:353–358, 2005.
18.
HaddadSLSabbaghRCReschSMyersonBMyersonMS: Results of flexor-to-extensor and extensor brevis tendon transfer for correction of the crossover second toe deformity.Foot Ankle Int.20:781–788, 1999.
19.
KitaokaHBAlexanderIJAdelaarRS: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes.Foot Ankle Int.15:349–353, 1994.
20.
KuwadaGT: A retrospective analysis of modification of the flexor tendon transfer for correction of hammer toe.J. Foot Surg.27:57–59, 1988.
21.
KuwadaGTDockeryGL: Modification of the flexor tendon transfer procedure for the correction of flexible hammertoes.J. Foot Surg.19:38–40, 1980.
22.
MannRACoughlinMJ: Lesser toe deformities.Instr. Course Lect.36:137–59, 1987.
23.
MyersonMSJungHG: The role of toe flexor-to-extensor transfer in correcting metatarsophalangeal joint instability of the second toe.Foot Ankle Int.26:675–679, 2005.
24.
NewmanRJFittonJM: An evaluation of operative procedures in the treatment of hammer toe.Acta Orthop. Scand.50:709–712, 1979.
25.
O'KaneCKilmartinT: Review of proximal interphalangeal joint excisional arthroplasty for the correction of second hammer toe deformity in 100 cases.Foot Ankle Int.26:320–325, 2005.
26.
ParrishTF: Dynamic correction of clawtoes.Orthop. Clin. North Am.4:97–102, 1973.
27.
PyperJB: The flexor-extensor transplant operation for claw toes.J. Bone Joint Surg.40-B:528–533, 1958.
28.
SarrafianSKTopouzianLK: Anatomy and physiology of the extensor apparatus of the toes.J. Bone Joint Surg.51-A:669–679, 1969.
29.
ScheckM: Etiology of acquired hammertoe deformity.Clin. Orthop.123:63–69, 1977.
30.
TaylorRG: An operative procedure for the treatment of hammer-toe and claw-toe.J. Bone Joint Surg.22:608–609, 1940.
31.
TaylorRG: The treatment of claw toes by multiple transfers of flexor into extensor tendons.J. Bone Joint Surg.33-B:539–542, 1951.
32.
ThompsonFMDelandJT: Flexor tendon transfer for metatarsophalangeal instability of the second toe.Foot Ankle.14:385–388, 1996.
33.
VandeputteGDereymaekerGSteenwercksAPeeraerL: The Weil osteotomy of the lesser metatarsals: a clinical and pedobarographic follow-up study.Foot Ankle Int.21:370–374, 2000.
