Document Detail

Treatment of painful subluxation or dislocation at the second and third metatarsophalangeal joints by partial proximal phalanx excision and subtotal webbing.
MedLine Citation:
PMID:  1563149     Owner:  NLM     Status:  MEDLINE    
Pain at the second or third metatarsophalangeal joint associated with objective instability and roentgenographic displacement is a common forefoot problem. In 53 patients (60 feet), surgical correction of the painful deformity was completed by resecting the bases of the proximal phalanges of Toes 2 and 3 combined with subtotal webbing of the toes. At an average follow-up period of 29.8 months, 38% were wholly satisfied; 37%, satisfied with minor reservations; 15%, satisfied with major reservations; and 10% were not satisfied. When graded for pain, cosmesis, and footwear use, the most improvement was noted for pain symptoms. No significant effect of earlier forefoot surgery was noted. Residual complaints, such as persistent pain and unstable sensation of the webbed toes, were rarely disabling and usually minor compared to the preoperative status.
P J Daly; K A Johnson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1992 May 
Date Detail:
Created Date:  1992-05-21     Completed Date:  1992-05-21     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  164-70     Citation Subset:  AIM; IM    
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota.
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MeSH Terms
Aged, 80 and over
Dislocations / complications,  surgery*
Follow-Up Studies
Foot Deformities, Acquired / radiography,  surgery*
Metatarsophalangeal Joint / injuries,  radiography,  surgery*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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