期刊论文详细信息
Foot & Ankle Orthopaedics
Extensor Digitorum Brevis Transosseous Transfer for MTPJ Instabilty: A Pilot Study
Dane K.Wukich1 
关键词: Lessor;    Toe;    Extensor;    Digitorum;    Brevis;    Instabilty;   
DOI  :  10.1177/2473011416S00179
学科分类:医学(综合)
来源: Sage Journals
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【 摘 要 】

Category:Lesser ToesIntroduction/Purpose:Instability at the MTPJ of the lessor toes is challenging to treat, particularly when both transverse and sagittal plane deformity coexist. Previous studies have utilized a subligamentous transfer of the EDB for crossover toes. The purpose of this pilot study was to evaluate a transosseous transfer of the EBD to correct multiplanar instability of the lessor toe. Routine exposure of the MTP was performed through a dorsal approach and a Z lengthening of the EDL was performed. The median number of concomitant produres performed was 4 and included hallux valgus repair, neuroma excision, metatarsal osteotomy, hammertoe correction and capsulotomies of other toes as needed. 27 tendon transfers were performed in 25 patients (2nd MTPJ: 20, 3 rd MTPJ: 5, 4th MTPJ: 2)Methods:A capsular release was performed on the concave side (contracted) and the convex side (lax) of the proximal phalanx and metatarsal head were exposed. A tenotomy of the EDB was performed at the musculotend...

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