Flexor digitorum brevis tendon transfer to the flexor digitorum longus tendon according to Valtin in posttraumatic flexible claw toe deformity due to extrinsic toe flexor shortening.

Abstract

Claw toe deformity after posterior leg compartment syndrome is rare but incapacitating. When the mechanism is flexor digitorum longus (FDL) shortening due to ischemic contracture of the muscle after posterior leg syndrome, a good treatment option is the Valtin procedure in which the flexor digitorum brevis (FDB) is transferred to the FDL after FDL tenotomy. The Valtin procedure reduces the deformity by lengthening and reactivating the FDL. Here, we report the outcomes of FDB to FDL transfer according to Valtin in 10 patients with posttraumatic claw toe deformity treated a mean of 34 months after the injury. Toe flexion was restored in all 10 patients, with no claw toe deformity even during dorsiflexion of the ankle.

• Authors: H Gonçalves, C Kajetanek, W Graff, M Thiongo, C Laporte
• Journal: Orthopaedics & traumatology, surgery & research : OTSR (Orthop Traumatol Surg Res) Vol. 101 Issue 2 Pg. 257-60 (Apr 2015) ISSN: 1877-0568 [Electronic] France
• PMID: 25703152 (Publication Type: Journal Article)
• Copyright: Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Topics

• Adolescent
• Adult
• Aged
• Ankle Injuries (complications, physiopathology, surgery)
• Female
• Foot Deformities (etiology, surgery)
• Hammer Toe Syndrome (etiology, surgery)
• Humans
• Male
• Middle Aged
• Muscle, Skeletal (surgery)
• Range of Motion, Articular
• Tendon Transfer (methods)
• Toes (injuries, surgery)
• Young Adult