Frey-Ollivier Solenne, Catena Fernanda, Hélix-Giordanino Marianne, Piclet-Legré Barbara
Centre du Pied, 68, rue du Commandant Rolland, Marseille 13008, France.
Orthopaedics and Sports Medecine Department, Hospital Nove de Julho, Sao Paulo, France.
Foot Ankle Clin. 2018 Mar;23(1):69-90. doi: 10.1016/j.fcl.2017.10.002. Epub 2017 Dec 12.
Lesser toe deformities are among the most common complaints presented to foot and ankle specialists. These deformities present in variable ways, which makes surgical decision making complex. For every type of deformity, there could be a combination of soft tissues and bony procedures, chosen according to the surgeon's preferences. This article first describes modern classification of lesser toe deformities, and then presents the different treatments and procedures available for those flexible deformities. In addition, this article proposes an algorithm based on clinical/radiological evaluation and step-by-step surgical decision making.
小趾畸形是足踝专科医生接诊的最常见病症之一。这些畸形表现形式多样，这使得手术决策变得复杂。对于每种类型的畸形，可能会根据外科医生的偏好选择软组织和骨性手术的组合。本文首先描述小趾畸形的现代分类，然后介绍针对那些柔韧性畸形可用的不同治疗方法和手术。此外，本文提出一种基于临床/放射学评估和逐步手术决策的算法。
