Gonçalves H, Kajetanek C, Graff W, Thiongo M, Laporte C
Service de chirurgie orthopédique et traumatologique, hôpital de Meaux, 6 bis, rue Saint-Fiacre, 77100 Meaux, France.
Service de chirurgie orthopédique et traumatologique, hôpital de Meaux, 6 bis, rue Saint-Fiacre, 77100 Meaux, France.
Orthop Traumatol Surg Res. 2015 Apr;101(2):257-60. doi: 10.1016/j.otsr.2014.12.008. Epub 2015 Feb 18.
Claw toe deformity after posterior leg compartment syndrome is rare but incapacitating. When the mechanism is flexor digitorum longus (FDL) shortening due to ischemic contracture of the muscle after posterior leg syndrome, a good treatment option is the Valtin procedure in which the flexor digitorum brevis (FDB) is transferred to the FDL after FDL tenotomy. The Valtin procedure reduces the deformity by lengthening and reactivating the FDL. Here, we report the outcomes of FDB to FDL transfer according to Valtin in 10 patients with posttraumatic claw toe deformity treated a mean of 34 months after the injury. Toe flexion was restored in all 10 patients, with no claw toe deformity even during dorsiflexion of the ankle.
小腿后骨筋膜室综合征后出现爪形趾畸形较为罕见，但会使人丧失活动能力。当机制是由于小腿后综合征后肌肉缺血性挛缩导致趾长屈肌（FDL）缩短时，一个较好的治疗选择是瓦尔廷手术，即在FDL切断术后将趾短屈肌（FDB）转移至FDL。瓦尔廷手术通过延长和重新激活FDL来减轻畸形。在此，我们报告了10例创伤后爪形趾畸形患者按照瓦尔廷手术将FDB转移至FDL的治疗结果，这些患者在受伤后平均34个月接受治疗。所有10例患者的趾屈曲功能均得以恢复，即使在踝关节背屈时也无爪形趾畸形。
