BOFAS Abstracts Archive

You can search for abstracts by using the search bar below.
Alternatively you can browse through podium and poster presentations by selecting the year and / or type below. You can further refine your search using tags or use the search bar.

Search

RSS Abstracts 476 Expand/Collapse
- RSS 2013 64 Expand/Collapse
  - RSS Poster 24 Expand/Collapse
  - RSS Podium 40 Expand/Collapse
- RSS 2014 36 Expand/Collapse
  - RSS Podium 36 Expand/Collapse
- RSS 2015 49 Expand/Collapse
  - RSS Poster 20 Expand/Collapse
  - RSS Podium 29 Expand/Collapse
- RSS 2016 45 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 27 Expand/Collapse
- RSS 2017 40 Expand/Collapse
  - RSS Poster 15 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2018 47 Expand/Collapse
  - RSS Poster 22 Expand/Collapse
  - RSS Podium 25 Expand/Collapse
- RSS 2019 48 Expand/Collapse
  - RSS Poster 25 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2021 15 Expand/Collapse
  - RSS Poster 10 Expand/Collapse
  - RSS Podium 6 Expand/Collapse
- RSS 2022 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2023 46 Expand/Collapse
  - RSS Poster 23 Expand/Collapse
  - RSS Podium 23 Expand/Collapse
- RSS 2024 40 Expand/Collapse
  - RSS Poster 18 Expand/Collapse
  - RSS Podium 22 Expand/Collapse

Categories: Abstracts, 2018, Poster

An investigation of the damage to flexor tendons incurred by different minimally invasive proximal phalangeal closing wedge osteotomy surgical techniques in cadaveric feet

N. Abdul, R. Kakwani, D. Townshend

¹Northumbria Healthcare Trust NHS Foundation Trust, Trauma and Orthopaedics, Newcastle Upon Tyne, United Kingdom

Second Place BOFAS 2018 Best Poster Prize

Background: Minimally invasive surgery (MIS) for hammer toe correction has become increasingly popular in the United Kingdom. The proximal phalangeal closing wedge osteotomy component of hammer toe correction can be performed by passing the burr via a plantar incision through the flexor tendons (transtendinous) or passing the burr adjacent to the flexor tendons (paratendinous).

Aim: To investigate damage to the flexor tendons by transtendinous and paratendinous techniques in cadaveric feet.

Method: Institutional approval was granted. Alternating between right and left feet of 8 donors, MIS proximal phalangeal osteotomies were performed transtendinous (n=24) and paratendinous (n=24) using the 2^nd, 3^rd and 4^th toes. Osteotomies were performed by 2 experienced surgeons using a 2mm x 8mm wedge burr. Toes were then dissected by an independent observer to assess damage to the flexor tendons.

Results: Using the paratendinous technique, significantly more damage to the flexor tendons was noted compared to the transtendinous technique (47% vs 4%, p< 0.05). The position of the osteotomy at or distal to the metaphyseal/diaphyseal junction was assessed. There was a significant difference in flexor tendon damage in the paratendinous group when the osteotomy was sited at the junction compared to more distally (67% vs 27%, p< 0.05). There was no significant difference accordingly to site using the transtendinous technique (7% vs 1%, p>0.05).

Conclusion: The least damage to the flexor tendon in MIS proximal phalangeal osteotomy is achieved with a transtendinous technique regardless of osteotomy site. The most damage to the flexor tendon occurs with a paratendinous technique at the metaphyseal/diaphyseal junction.

Print

Tags: MIS Anatomy Lesser Toes Forefoot

Click thumbnail below to view poster / thumbnail:

Archive of Abstracts