de Palma L, Zanoli G
Clinica Ortopedica, Università degli Studi di Ancona, Italy.
Acta Orthop Scand. 1998 Oct;69(5):505-7. doi: 10.3109/17453679808997787.
Digitus quintus superductus pedis (overlapping fifth toe) is a congenital deformity, often bilateral, in which the fifth toe is medially directed, rotated and hyperextended. There is no consensus regarding the best treatment. We describe our experience using Zanoli's procedure, which is a tenodesis procedure using the extensor tendon of the fifth toe. Between 1979 and 1993, we operated on 16 patients (7 bilateral, total 23 feet). 13 (10 women) patients (18 feet), with a mean age of 26 (19-40) years, were seen on follow-up. The mean follow-up time was 8 (4-17) years. Pain relief was achieved in all patients. From the surgeon's point of view, 3 toes overcorrected due to technical errors were considered unsatisfactory. All patients, however, were satisfied with the result and would advise other patients to undergo the same operation.
足第五趾上翻（重叠第五趾）是一种先天性畸形，通常为双侧性，表现为第五趾向内侧移位、旋转并过度伸展。关于最佳治疗方法尚无共识。我们描述了使用扎诺利手术的经验，该手术是一种利用第五趾伸肌腱的肌腱固定术。1979年至1993年间，我们对16例患者（7例双侧，共23只脚）进行了手术。随访了13例患者（10名女性）（18只脚），平均年龄为26岁（19 - 40岁）。平均随访时间为8年（4 - 17年）。所有患者均实现了疼痛缓解。从外科医生的角度来看，3个因技术失误而过度矫正的脚趾被认为效果不佳。然而，所有患者对结果都很满意，并会建议其他患者接受相同的手术。
