Method for Surgical Treatment of Hammer Deformity of the Second Toe

The article presents a case of successful surgical treatment of a patient with hammer-like deformity of the second toe associated with deformity of the first toe. During the preoperative examination of the patient, the length of the required shortening of the second metatarsal bone relative to the l...

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Autores principales:	S. N. Leonova, I. V. Usoltsev, M. A. Kosareva
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	hammer-like deformity of the second toe the length of the required shortening of the second metatarsal bone Science Q
Acceso en línea:	https://doaj.org/article/1e07249b1bb2489d821d279afe7ce7c4
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spelling	oai:doaj.org-article:1e07249b1bb2489d821d279afe7ce7c42021-11-23T06:14:45ZMethod for Surgical Treatment of Hammer Deformity of the Second Toe2541-94202587-959610.29413/ABS.2020-5.6.31https://doaj.org/article/1e07249b1bb2489d821d279afe7ce7c42021-01-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2522https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article presents a case of successful surgical treatment of a patient with hammer-like deformity of the second toe associated with deformity of the first toe. During the preoperative examination of the patient, the length of the required shortening of the second metatarsal bone relative to the length of the third metatarsal bone was calculated on the X-ray in frontal projection and the length of the required shortening of the first metatarsal bone was calculated using a known method. To eliminate the deformity of the first toe, the author’s method of surgical treatment was used. To correct the deformation of the second toe, the proposed method was used, which includes the following steps: marking the lines of osteotomies during the operation; performing osteotomies along the outlined lines; removal of a free bone fragment; precise implementation of the required shortening of the second metatarsal bone; fixation of the osteotomized fragments of the second metatarsal bone with a cannulated screw. As a result of the performed surgical treatment, correction of the hallux valgus and hammer-like deformity of the second toe was achieved.The presented clinical case shows that in the surgical treatment of hammer deformity of the second toe, it is important to take into account the individual characteristics of the patient’s foot condition, namely, the ratio of the length of the second and adjacent third metatarsal bones. Preliminary calculation of the length of the required shortening of the second and first metatarsal bones on the roentgenogram, precise markings of the osteotomy lines and the implementation of the necessary shortening contribute to achieving a balance in the ratio of the lengths of the metatarsal bones, restoring the optimal load distribution on the heads of the metatarsal bones, more accurate correction of the deformity of the second and first toes, and improving statodynamic function of the foot and reducing the risk of postoperative failures.S. N. LeonovaI. V. UsoltsevM. A. KosarevaScientific Сentre for Family Health and Human Reproduction Problemsarticlehammer-like deformity of the second toethe length of the required shortening of the second metatarsal boneScienceQRUActa Biomedica Scientifica, Vol 5, Iss 6, Pp 243-247 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	hammer-like deformity of the second toe the length of the required shortening of the second metatarsal bone Science Q
spellingShingle	hammer-like deformity of the second toe the length of the required shortening of the second metatarsal bone Science Q S. N. Leonova I. V. Usoltsev M. A. Kosareva Method for Surgical Treatment of Hammer Deformity of the Second Toe
description	The article presents a case of successful surgical treatment of a patient with hammer-like deformity of the second toe associated with deformity of the first toe. During the preoperative examination of the patient, the length of the required shortening of the second metatarsal bone relative to the length of the third metatarsal bone was calculated on the X-ray in frontal projection and the length of the required shortening of the first metatarsal bone was calculated using a known method. To eliminate the deformity of the first toe, the author’s method of surgical treatment was used. To correct the deformation of the second toe, the proposed method was used, which includes the following steps: marking the lines of osteotomies during the operation; performing osteotomies along the outlined lines; removal of a free bone fragment; precise implementation of the required shortening of the second metatarsal bone; fixation of the osteotomized fragments of the second metatarsal bone with a cannulated screw. As a result of the performed surgical treatment, correction of the hallux valgus and hammer-like deformity of the second toe was achieved.The presented clinical case shows that in the surgical treatment of hammer deformity of the second toe, it is important to take into account the individual characteristics of the patient’s foot condition, namely, the ratio of the length of the second and adjacent third metatarsal bones. Preliminary calculation of the length of the required shortening of the second and first metatarsal bones on the roentgenogram, precise markings of the osteotomy lines and the implementation of the necessary shortening contribute to achieving a balance in the ratio of the lengths of the metatarsal bones, restoring the optimal load distribution on the heads of the metatarsal bones, more accurate correction of the deformity of the second and first toes, and improving statodynamic function of the foot and reducing the risk of postoperative failures.
format	article
author	S. N. Leonova I. V. Usoltsev M. A. Kosareva
author_facet	S. N. Leonova I. V. Usoltsev M. A. Kosareva
author_sort	S. N. Leonova
title	Method for Surgical Treatment of Hammer Deformity of the Second Toe
title_short	Method for Surgical Treatment of Hammer Deformity of the Second Toe
title_full	Method for Surgical Treatment of Hammer Deformity of the Second Toe
title_fullStr	Method for Surgical Treatment of Hammer Deformity of the Second Toe
title_full_unstemmed	Method for Surgical Treatment of Hammer Deformity of the Second Toe
title_sort	method for surgical treatment of hammer deformity of the second toe
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/1e07249b1bb2489d821d279afe7ce7c4
work_keys_str_mv	AT snleonova methodforsurgicaltreatmentofhammerdeformityofthesecondtoe AT ivusoltsev methodforsurgicaltreatmentofhammerdeformityofthesecondtoe AT makosareva methodforsurgicaltreatmentofhammerdeformityofthesecondtoe
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Method for Surgical Treatment of Hammer Deformity of the Second Toe

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