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R Krauspe - One of the best experts on this subject based on the ideXlab platform.

  • the ruiz mora procedure a surgical treatment of the cock up deformity of the Fifth Toe
    Foot and Ankle Surgery, 1998
    Co-Authors: J L Visposeara, V Ettl, R Krauspe
    Abstract:

    A fixed rotational deformity of the Fifth Toe combined with subluxation/dislocation of the Fifth metatarsophalangeal joint is also known as the cock-up deformity. If the Toe cannot be accommodated by wide or extra-depth shoes surgery may be indicated. Surgical treatment requires adequate bony decompression. Complete excision of the proximal phalanx combined with tightened plantar skin closure after elliptical plantar skin excision, the Ruiz-Mora procedure, provides good relief of symptoms. We reviewed 18 patients with 22 procedures, operated on between 1986 and 1996. Two patients with two procedures had post-traumatic foot deformities and because of the different underlying aetiology and pathology of their deformity were excluded from the study. There were 10 women and eight men, and four patients had bilateral operations. The average age at surgery was 38 years. Follow-up examination was possible for 17 cases. These patients were followed for an average of 6.6 years. After surgery there was no recurrence of deformity. Subjectively, all of the examined patients had complete relief of pain. Three recurrences of a simultaneously surgically treated hammer Toe deformity of the fourth Toe with a corn on the dorsal aspect of this Toe were observed. In two cases a floppy Fifth Toe, and in another two cases some problems with excessive shortening, were noted. The use of a partial syndactylization between the fourth and Fifth Toe or a skin incision placed near to interdigital space should be considered to avoid the excessive shortening and the development of a floppy Fifth Toe.

  • the ruiz mora procedure a surgical the cock up deformity of the Fifth Toe treatment of
    1998
    Co-Authors: R Krauspe
    Abstract:

    Summary A fixed rotational deformity of the Fifth Toe combined with subluxation/dislocation of the Fifth metatarsophalangeal joint is also known as the cock-up deformity. If the Toe cannot be accommodated by wide or extra-depth shoes surgery may be indicated. Surgical treatment requires adequate bony decompression. Complete excision of the proximal phalanx combined with tightened plantar skin closure after elliptical plantar skin excision, the Ruiz-Mora procedure, provides good relief of symptoms. We reviewed 18 patients with 22 procedures, operated on between 1986 and 1996. Two patients with two procedures had post-traumatic foot deformities and because of the different underlying aetiology and pathology of their deformity were excluded from the study. There were 10 women and eight men, and four patients had bilateral operations. The average age at surgery was 38 years. Follow-up examination was possible for 17 cases. These patients were followed for an average of 6.6 years. After surgery there was no recurrence of deformity. Subjectively, all of the examined patients had complete relief of pain. Three recurrences of a simultaneously surgically treated hammer Toe deformity of the fourth Toe with a corn on the dorsal aspect of this Toe were observed. In two cases a floppy Fifth Toe, and in another two cases some problems with excessive shortening, were noted. The use of a partial syndactylization between the fourth and Fifth Toe or a skin incision placed near to interdigital space should be considered to avoid the excessive shortening and the development of a floppy Fifth Toe.

J L Visposeara - One of the best experts on this subject based on the ideXlab platform.

  • the ruiz mora procedure a surgical treatment of the cock up deformity of the Fifth Toe
    Foot and Ankle Surgery, 1998
    Co-Authors: J L Visposeara, V Ettl, R Krauspe
    Abstract:

    A fixed rotational deformity of the Fifth Toe combined with subluxation/dislocation of the Fifth metatarsophalangeal joint is also known as the cock-up deformity. If the Toe cannot be accommodated by wide or extra-depth shoes surgery may be indicated. Surgical treatment requires adequate bony decompression. Complete excision of the proximal phalanx combined with tightened plantar skin closure after elliptical plantar skin excision, the Ruiz-Mora procedure, provides good relief of symptoms. We reviewed 18 patients with 22 procedures, operated on between 1986 and 1996. Two patients with two procedures had post-traumatic foot deformities and because of the different underlying aetiology and pathology of their deformity were excluded from the study. There were 10 women and eight men, and four patients had bilateral operations. The average age at surgery was 38 years. Follow-up examination was possible for 17 cases. These patients were followed for an average of 6.6 years. After surgery there was no recurrence of deformity. Subjectively, all of the examined patients had complete relief of pain. Three recurrences of a simultaneously surgically treated hammer Toe deformity of the fourth Toe with a corn on the dorsal aspect of this Toe were observed. In two cases a floppy Fifth Toe, and in another two cases some problems with excessive shortening, were noted. The use of a partial syndactylization between the fourth and Fifth Toe or a skin incision placed near to interdigital space should be considered to avoid the excessive shortening and the development of a floppy Fifth Toe.

Yuddhasert Sirirungruangsarn - One of the best experts on this subject based on the ideXlab platform.

Gabriel Matos - One of the best experts on this subject based on the ideXlab platform.

  • Treatment of the overriding Fifth Toe: Butler’s arthroplasty is a good option
    Journal of Children's Orthopaedics, 2018
    Co-Authors: Ricardo Simoes, Cristina Alves, L. Tavares, Inês Balacó, P. Sá Cardoso, T. Pu Ling, Gabriel Matos
    Abstract:

    Abstract Purpose The overriding Fifth Toe is a congenital triplane deformity that may cause aesthetic and functional concerns in children and adolescents. This study aims to evaluate the results obtained when using Butler’s arthroplasty to treat this forefoot deformity. Methods We performed a retrospective study, including all patients undergoing Butler’s arthroplasty from January 1995 to December 2012. Clinical records were reviewed to determine age at date of surgery, gender, laterality, preoperative symptoms, success of deformity correction, postoperative pain, scarring, need for adapted shoe, rates of complications and recurrence. Patient satisfaction was evaluated through a telephone interview. All p-values < 0.05 were considered statistically significant. Results A total of 21 patients were included in this study, the majority of which were male (57%), with a mean follow-up of 12 months (1 to 52). In the evaluation of the residual deformity (18 patients), 72% had excellent results, 17% good and 11% ...

  • treatment of the overriding Fifth Toe butler s arthroplasty is a good option
    Journal of Children's Orthopaedics, 2018
    Co-Authors: Ricardo Simoes, L. Tavares, Inês Balacó, C N Alves, Sa P Cardoso, Pu T Ling, Gabriel Matos
    Abstract:

    Abstract Purpose The overriding Fifth Toe is a congenital triplane deformity that may cause aesthetic and functional concerns in children and adolescents. This study aims to evaluate the results obtained when using Butler’s arthroplasty to treat this forefoot deformity. Methods We performed a retrospective study, including all patients undergoing Butler’s arthroplasty from January 1995 to December 2012. Clinical records were reviewed to determine age at date of surgery, gender, laterality, preoperative symptoms, success of deformity correction, postoperative pain, scarring, need for adapted shoe, rates of complications and recurrence. Patient satisfaction was evaluated through a telephone interview. All p-values < 0.05 were considered statistically significant. Results A total of 21 patients were included in this study, the majority of which were male (57%), with a mean follow-up of 12 months (1 to 52). In the evaluation of the residual deformity (18 patients), 72% had excellent results, 17% good and 11% ...

V Ettl - One of the best experts on this subject based on the ideXlab platform.

  • the ruiz mora procedure a surgical treatment of the cock up deformity of the Fifth Toe
    Foot and Ankle Surgery, 1998
    Co-Authors: J L Visposeara, V Ettl, R Krauspe
    Abstract:

    A fixed rotational deformity of the Fifth Toe combined with subluxation/dislocation of the Fifth metatarsophalangeal joint is also known as the cock-up deformity. If the Toe cannot be accommodated by wide or extra-depth shoes surgery may be indicated. Surgical treatment requires adequate bony decompression. Complete excision of the proximal phalanx combined with tightened plantar skin closure after elliptical plantar skin excision, the Ruiz-Mora procedure, provides good relief of symptoms. We reviewed 18 patients with 22 procedures, operated on between 1986 and 1996. Two patients with two procedures had post-traumatic foot deformities and because of the different underlying aetiology and pathology of their deformity were excluded from the study. There were 10 women and eight men, and four patients had bilateral operations. The average age at surgery was 38 years. Follow-up examination was possible for 17 cases. These patients were followed for an average of 6.6 years. After surgery there was no recurrence of deformity. Subjectively, all of the examined patients had complete relief of pain. Three recurrences of a simultaneously surgically treated hammer Toe deformity of the fourth Toe with a corn on the dorsal aspect of this Toe were observed. In two cases a floppy Fifth Toe, and in another two cases some problems with excessive shortening, were noted. The use of a partial syndactylization between the fourth and Fifth Toe or a skin incision placed near to interdigital space should be considered to avoid the excessive shortening and the development of a floppy Fifth Toe.