Use of the modified Stainsby procedure in correcting severe claw toe deformity in the rheumatoid foot: a retrospective review.

Hdl Handle:
http://hdl.handle.net/10147/205029
Title:
Use of the modified Stainsby procedure in correcting severe claw toe deformity in the rheumatoid foot: a retrospective review.
Authors:
Queally, Joseph M; Zgraj, Oskar S; Walsh, James C; Butt, Ashan J; D'Souza, Lester G
Affiliation:
Department of Trauma & Orthopaedic Surgery, Mid-Western Regional Orthopaedic Hospital Croom, Limerick, Ireland. josephqueally@gmail.com
Citation:
Use of the modified Stainsby procedure in correcting severe claw toe deformity in the rheumatoid foot: a retrospective review. 2009, 19 (2):110-3 Foot (Edinb)
Journal:
Foot (Edinburgh, Scotland)
Issue Date:
Jun-2009
URI:
http://hdl.handle.net/10147/205029
DOI:
10.1016/j.foot.2009.01.007
PubMed ID:
20307460
Abstract:
In claw toe deformity, the plantar plate of the metarsophalangeal joint becomes displaced onto the dorsal aspect of the metatarsal head. The Stainsby procedure replaces the displaced plantar plate to its correct position beneath the metatarsal head.; In this study we assess the efficacy of a modified Stainsby procedure for the treatment of claw toe deformity.; Thirteen patients were operated on between 2002 and 2008. Eleven patients (13 feet) were available for review with the average follow-up period being 16 months. Clinical examination was performed and AOFAS forefoot scores were measured.; All 13 (100%) of the feet operated on had severe or moderate pain preoperatively. None had significant pain at review. Plantar callosities were reduced from 13 (100%) feet preoperatively to 1 (9%) foot postoperatively. The AOFAS forefoot score in the eleven patients improved significantly by 40.7 points from a preoperative mean of 20.1 to a mean of 50.2 at review (p<0.001). Ten (91%) of the 11 patients were completely satisfied with the procedure, 1 patient was satisfied with some reservations.; This study demonstrates the modified Stainsby procedure to be effective in correcting claw toe deformity in the rheumatoid patient. It relieves pain, skin callosities and improves overall forefoot function.
Item Type:
Article
Language:
en
MeSH:
Aged; Arthritis, Rheumatoid; Bone Wires; Female; Foot Deformities, Acquired; Humans; Male; Middle Aged; Orthopedic Procedures; Patient Satisfaction; Retrospective Studies; Toes; Treatment Outcome
ISSN:
1532-2963

Full metadata record

DC FieldValue Language
dc.contributor.authorQueally, Joseph Men
dc.contributor.authorZgraj, Oskar Sen
dc.contributor.authorWalsh, James Cen
dc.contributor.authorButt, Ashan Jen
dc.contributor.authorD'Souza, Lester Gen
dc.date.accessioned2012-01-26T11:05:46Z-
dc.date.available2012-01-26T11:05:46Z-
dc.date.issued2009-06-
dc.identifier.citationUse of the modified Stainsby procedure in correcting severe claw toe deformity in the rheumatoid foot: a retrospective review. 2009, 19 (2):110-3 Foot (Edinb)en
dc.identifier.issn1532-2963-
dc.identifier.pmid20307460-
dc.identifier.doi10.1016/j.foot.2009.01.007-
dc.identifier.urihttp://hdl.handle.net/10147/205029-
dc.description.abstractIn claw toe deformity, the plantar plate of the metarsophalangeal joint becomes displaced onto the dorsal aspect of the metatarsal head. The Stainsby procedure replaces the displaced plantar plate to its correct position beneath the metatarsal head.-
dc.description.abstractIn this study we assess the efficacy of a modified Stainsby procedure for the treatment of claw toe deformity.-
dc.description.abstractThirteen patients were operated on between 2002 and 2008. Eleven patients (13 feet) were available for review with the average follow-up period being 16 months. Clinical examination was performed and AOFAS forefoot scores were measured.-
dc.description.abstractAll 13 (100%) of the feet operated on had severe or moderate pain preoperatively. None had significant pain at review. Plantar callosities were reduced from 13 (100%) feet preoperatively to 1 (9%) foot postoperatively. The AOFAS forefoot score in the eleven patients improved significantly by 40.7 points from a preoperative mean of 20.1 to a mean of 50.2 at review (p<0.001). Ten (91%) of the 11 patients were completely satisfied with the procedure, 1 patient was satisfied with some reservations.-
dc.description.abstractThis study demonstrates the modified Stainsby procedure to be effective in correcting claw toe deformity in the rheumatoid patient. It relieves pain, skin callosities and improves overall forefoot function.-
dc.language.isoenen
dc.subject.meshAged-
dc.subject.meshArthritis, Rheumatoid-
dc.subject.meshBone Wires-
dc.subject.meshFemale-
dc.subject.meshFoot Deformities, Acquired-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshOrthopedic Procedures-
dc.subject.meshPatient Satisfaction-
dc.subject.meshRetrospective Studies-
dc.subject.meshToes-
dc.subject.meshTreatment Outcome-
dc.titleUse of the modified Stainsby procedure in correcting severe claw toe deformity in the rheumatoid foot: a retrospective review.en
dc.typeArticleen
dc.contributor.departmentDepartment of Trauma & Orthopaedic Surgery, Mid-Western Regional Orthopaedic Hospital Croom, Limerick, Ireland. josephqueally@gmail.comen
dc.identifier.journalFoot (Edinburgh, Scotland)en
dc.description.provinceMunster-
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