Black G B, Grogan D P, Bobechko W P
J Pediatr Orthop. 1985 Jul-Aug;5(4):439-41. doi: 10.1097/01241398-198507000-00010.
This is a retrospective study of 30 children and adolescents who have undergone Butler arthroplasty for correction of an overriding fifth toe. Bilateral operations were performed on six patients, giving a total of 36 operations. Good to excellent results were obtained in 34 of the 36 operations. With attention to detail, this is a simple and safe operation. Full correction is obtainable without postoperative splintage or cast immobilization. This study represents the only reported experience in North America of this little-known procedure.
这是一项对30名接受巴特勒关节成形术以矫正第5趾重叠的儿童和青少年的回顾性研究。6名患者接受了双侧手术，共计36次手术。36次手术中有34次取得了良好至极佳的效果。注重细节的话，这是一种简单且安全的手术。无需术后夹板固定或石膏固定即可实现完全矫正。本研究是北美地区关于这一鲜为人知手术的唯一报道经验。
