Darcel Véronique, Nunes Gustavo Araujo, Piclet-Legré Barbara
Department of Orthopaedics Surgery and Traumatology, Maison de Santé Protestante de Bordeaux Bagatelle, Bordeaux 33000, France.
Foot and Ankle Surgery, Clinic COTE, St de habitaçoes Individuais Sul QI 5 DF, Bloco D, Edificio hangar 5 - Lago Sul, Brasilia - DF, 71615-540, Brazil.
Foot Ankle Clin. 2025 Sep;30(3):525-539. doi: 10.1016/j.fcl.2024.11.008. Epub 2025 Jan 22.
Percutaneous treatment of lesser toe deformities (LTD) is rapidly gaining popularity due to the safe and effective results of percutaneous forefoot surgery. De Prado was the first to describe a percutaneous approach to LTD combining osteotomies, condylectomies, and selective tenotomies. Since then, many developments in surgical techniques have been described: selective tenotomies and unicortical or bicortical new osteotomies. This article aims to describe the main percutaneous soft tissue and osteotomy techniques, their results and indications. We propose a sequential therapeutic strategy from proximal to distal using decision trees based on the latest published studies and our own experience.
经皮治疗小趾畸形（LTD）因经皮前足手术安全有效的结果而迅速受到欢迎。德普拉多是第一个描述经皮治疗LTD的方法，该方法结合了截骨术、髁切除术和选择性腱切断术。从那时起，已经描述了许多手术技术的发展：选择性腱切断术和单皮质或双皮质新截骨术。本文旨在描述主要的经皮软组织和截骨技术、其结果及适应症。我们根据最新发表的研究和我们自己的经验，使用决策树从近端到远端提出一种序贯治疗策略。
