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Arthroscopic-Assisted Correction of Lesser Toe Deformity: Plantar Plate Tenodesis

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Minimally Invasive Surgery in Orthopedics

Abstract

Plantar plate insufficiency is a common cause of metatarsalgia, and it may progress to toe coronal and sagittal plane malalignment with time. Conservative treatment can rarely delay the progression and several surgical soft tissue balancing, and bony procedures have been described. Plantar plate tenodesis is one of the soft tissue balancing procedures, and it can be performed precisely under arthroscopic assistance. Through the stabilization of the attenuated plantar plate by suturing of the plantar plate with the extensor tendon, it acts as a dynamic repair to correct the flexible claw toe deformity. The technique of the arthroscopic-assisted plantar plate repair has gone through several modifications, and the modified double plantar plate tenodesis technique (the fourth generation), the postoperative care, and the surgical outcome will be described in this chapter.

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Author information

Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Hong Kong, China

    Sally Hi-shan Cheng

  2. Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong, China

    Tun Hing Lui

Authors
  1. Sally Hi-shan Cheng
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  2. Tun Hing Lui
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Corresponding author

Correspondence to Sally Hi-shan Cheng .

Editor information

Editors and Affiliations

  1. Orthopedic Service Line, Northwell Health , New York, New York, USA

    Giles R. Scuderi

  2. Department of Orthopedic Surgery, Rutgers-Robert Wood JohnsonMedicalSchool Department of Orthopedic Surgery, New Brunswick, New Jersey, USA

    Alfred J. Tria

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© 2016 Springer International Publishing Switzerland

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Cheng, S.Hs., Lui, T. (2016). Arthroscopic-Assisted Correction of Lesser Toe Deformity: Plantar Plate Tenodesis. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_73

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  • DOI: https://doi.org/10.1007/978-3-319-34109-5_73

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34107-1

  • Online ISBN: 978-3-319-34109-5

  • eBook Packages: MedicineReference Module Medicine

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