Behavioural and Health Sciences Department, Miguel Hernandez University, Ctra. Alicante-Valencia s/n, 03550, San Juan de Alicante, Spain.
Physiotherapy and Podiatry Department, Catholic university of Valencia San Vicente Mártir, Torrente, Spain.
J Foot Ankle Res. 2021 Mar 20;14(1):20. doi: 10.1186/s13047-021-00460-0.
Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes.
This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment.
At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p < 0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment.
Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.
微创手术（MIS）对患者的创伤较小，可能有助于恢复。本研究旨在确定 MIS 下的跖骨切除术治疗小趾间鸡眼的疗效和安全性。
这是一项在七个足病治疗中心进行的前瞻性队列研究。入选标准为患有小趾间鸡眼，病史超过 1 年，且在过去 1 年中经保守治疗后有 1 次或多次复发。根据治疗方法将患者分为保守治疗组和手术（MIS 下跖骨切除术）组，并进行比较。治疗后 3 个月和 6 个月评估患者满意度、疼痛、足部临床和功能状况以及后遗症的外观。
在 6 个月时，手术组患者在受到压力时没有疼痛，与保守治疗组有显著差异（p<0.001）。他们的足部临床和功能状况也得到了改善，达到了与标准人群相当的水平。手术治疗后没有出现感觉异常、关节僵硬或不稳定、脚趾排列不正或鸡眼转移到相邻部位。
MIS 下跖骨切除术治疗小趾间鸡眼有效且安全。
