Ross E R, Menelaus M B
J Bone Joint Surg Br. 1984 Nov;66(5):770-1. doi: 10.1302/0301-620X.66B5.6501376.
Sixty-two children were reviewed between 3 and 14 years (average 9.8 years) after flexor tenotomy for curly toes or hammer toes. No patients were aware of loss of flexor power in the toes. In only 5% of 188 toes was the operation unsuccessful. When the cause of failure was identifiable it proved to be that the scar crossed one or more flexor creases. None of the operated toes had an abnormally extended posture; only one toe was stiff and this resulted from tethering by a scar. It is concluded that open flexor tenotomy is an effective method for correcting curly toes and hammer toes in childhood. Pre-operative assessment must demonstrate that the resting length of the flexor tendons is unduly short, and that this shortening is the only cause of the deformity.
对62名儿童进行了随访，这些儿童在因卷曲趾或锤状趾行屈肌腱切断术后3至14年（平均9.8岁）。没有患者意识到趾部屈肌力量丧失。在188个趾中，只有5%的手术不成功。当失败原因可确定时，证明是瘢痕跨过一个或多个屈肌皱襞。所有接受手术的趾均无异常伸展姿势；只有一个趾僵硬，这是由瘢痕束缚所致。结论是开放性屈肌腱切断术是矫正儿童卷曲趾和锤状趾的有效方法。术前评估必须证明屈肌腱的静息长度过度缩短，且这种缩短是畸形的唯一原因。
