Tratamento de deformidade dos dedos menores do pé “a la carte”
Palavras-chave:
Dedos em garra, Procedimentos cirúrgicos minimamente invasivos, Cirurgia percutânea, Correção de dedos menorea, Hálux valgoResumo
As deformidades nos dedos menores constituem uma das queixas mais frequentes, porém devemos considerar a grande variedade dentro dessa entidade clínica. Para cada tipo específico de deformidade, pode haver uma combinação de procedimentos ósseos e de partes moles, escolhidos “a la carte” pelo cirurgião, de acordo com suas preferências e conhecimentos. Neste artigo apresentaremos uma possibilidade de tratamento híbrido, compreendendo a técnica cirúrgica aberta convencional associada à técnica minimamente invasiva.
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Referências
Coughlin MJ, Saltzman CL, Mann RA. Mann’s surgery of the foot and ankle. 9thed. Philadelphia Elsevier; 2014.
Doty JF, Coughlin MJ, Weil L, Nery C. Etiology and management of lesser toe metatarsophalangeal joint instability. Foot Ankle Clin. 2014;19(3):385-405.
Sarrafian SK, Topouzian LK. Anatomy and physiology of the extensor apparatus of the toes. J Bone Joint Surg Am. 1969; 51(4):669-79.
Wang B, Guss A, Chalayon O, Bachus KN, Barg A, Saltzman CL. Deep transverse metatarsal ligament and static stability of lesser metatarsophalangeal joints: a cadaveric study. Foot Ankle Int. 2015;36(5):573-8.
Nery C, Coughlin M, Baumfeld D, Raduan F, Mann TS, Catena F. How to classify plantar plate injuries: parameters from history and physical examination. Rev Bras Ortop. 2015;50(6):720-8.
Finney FT, Cata E, Holmes JR, Talusan PG. Anatomy and physiology of the lesser metatarsophalangeal joints. Foot Ankle Clin. 2018;23(1):1-7.
Reuter BH. Taping the hammer toe. J Athl Train. 1995;30(2):178-9.
Federer A, Tainter D, Adams S, Schweitzer K, Conservative management of metatarsalgia and lesser toe deformities. Foot Ankle Clin. 2018;23(1):9-20.
Jones LH, Kusunose RS, Goering EK. Jones strain counterstrain. Boise: Jones Strain Counterstrain Incorporated; 1995.
Veljkovic A, Lansang E, Lau J. Forefoot tendon transfers. Foot Ankle Clin. 2014;19(1):123-37.
Hobizal KB, Wukich DK, Manway J. Extensor digitorum brevis transfer technique to correct multiplanar deformity of the lesser digits. Foot Ankle Spec. 2016;9(3):252-7.
Nery C, Baumfeld D. Lesser metatarsophalangeal joint instability: treatment with tendon transfers. Foot Ankle Clin. 2018;23(1):103-26.
Nery C, Raduan FC, Catena F, Mann TS, de Andrade MAP, Baumfeld D. Plantar plate radiofrequency and Weil osteotomy for subtle metatarsophalangeal joint instablity. J Orthop Surg Res. 2015 Nov 19;10:180.
Nery C, Coughlin MJ, Baumfeld D, Mann TS. Lesser metatarsophalangeal joint instability: prospective evaluation and repair of plantar plate and capsular insufficiency. Foot Ankle Int.
;33(4):301-11.
Redfern D. Treatment of metatarsalgia with distal osteotomies. Foot Ankle Clin. 2018;23(1):21-33.
Frey-Ollivier S, Catena F, Hélix-Giordanino M, Piclet-Legré B, Treatment of flexible lesser toe deformities. Foot Ankle Clin. 2018;23(1):69-90.
Holinka J, Schuh R, Hofstaetter JG, Wanivenhaus AH. Temporary Kirschner wire transfixation versus strapping dressing after second MTP joint realignment surgery: a comparative study with ten-year follow-up. Foot Ankle Int. 2013;34(7):984-89.
Prado M de, Ripoll PL, Golanó P. Cirugía percutánea del pie: técnicas quirúrgicas, indicaciones, bases anatómicas. Barcelona: Masson; 2003.
Frey S, Hélix-Giordanino M, Piclet-Legré B. Percutaneous correction of second toe proximal deformity: proximal interphalangeal release, flexor digitorum brevis tenotomy and proximal phalanx osteotomy. Orthop Traumatol Surg Res. 2015;101(6):753-8.