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Hammertoes pp 197-207 | Cite as

Flexor to Extensor Tendon Transfers

  • Kris DiNucci
  • Kenneth Hegewald
Chapter

Abstract

Hammertoe deformity is among the most common pathologies treated by foot and ankle surgeons. The types and etiologies of these challenging deformities vary, and surgical treatments will often times require a multitude of approaches. The flexor to extensor tendon transfer is a powerful surgical procedure with rewarding clinical outcomes when applied and executed correctly. The chapter will cover key points in patient history and important diagnostic methods and modalities. Three surgical techniques for flexor to extensor tendon transfers are described. Foot and ankle surgeons should be aware of the benefits of this procedure as well as understanding potential complications and how to mitigate unwanted outcomes when performing flexor to extensor tendon transfers for digital deformity.

Keywords

Hammertoe Tendon Transfer Extensor Flexor Tendon release Tenotomies Hammertoe syndrome 

References

  1. 1.
    Taylor RG. The treatment of claw toes by multiple transfers of flexor into extensor tendons. J Bone Joint Surg. 1951;33:539–42.CrossRefGoogle Scholar
  2. 2.
    Sgarlato TE. Transplantation of the flexor digitorum longus muscle tendon in hammertoes. J Am Podiatry Assoc. 1970;60(10):383–8.CrossRefGoogle Scholar
  3. 3.
    Kuwada GT. A retrospective analysis of modification of the flexor tendon transfer for correction of hammer toe. J Foot Surg. 1988;27(1):57–9.PubMedGoogle Scholar
  4. 4.
    Thompson FM, Deland JT. Flexor tendon transfer for metatarsophalangeal instability of the second toe. Foot Ankle. 1993;14(7):385–8.CrossRefGoogle Scholar
  5. 5.
    Schuberth JM, Jensen R. Flexor digitorum longus transfer for second metatarsophalangeal joint dislocation/subluxation. In:Reconstructive surgery of the foot and leg. Update ‘97. Tucker: The Podiatry Institute; 1997. p. 11–4.Google Scholar
  6. 6.
    Myerson MS, Jung HG. The role of toe flexor-to-extensor transfer in correcting metatarsophalangeal joint instability of the second toe. Foot Ankle Int. 2005;26(9):675–9.CrossRefGoogle Scholar
  7. 7.
    Boyer ML, DeOrio JK. Transfer of the flexor digitorum longus for the correction of lesser-toe deformities. Foot Ankle Int. 2007;28(4):422–30.CrossRefGoogle Scholar
  8. 8.
    Barbari SG, Brevig K. Correction of clawtoes by the Girdlestone-Taylor flexor-extensor transfer procedure. Foot Ankle. 1984;5(2):67–73.CrossRefGoogle Scholar
  9. 9.
    Bouche RT, Heit EJ. Combined plantar plate and hammertoe repair with flexor digitorum longus tendon transfer for chronic, severe sagittal plane instability of the lesser metatarsophalangeal joints: preliminary observations. J Foot Ankle Surg. 2008;47(2):125–37.CrossRefGoogle Scholar
  10. 10.
    Thompson FM, Hamilton WG. Problems of the second metatarsophalangeal joint. Orthopedics. 1987;10:83–7.PubMedGoogle Scholar
  11. 11.
    Klein EE, Weil L Jr, Weil LS, Knight J. Magnetic resonance imaging versus musculoskeletal ultrasound for identification and localization of plantar plate tears. Foot Ankle Spec. 2012;5(6):359–65.CrossRefGoogle Scholar
  12. 12.
    Fishco WD, Roth BJ. Digital fracture after a flexor tendon transfer for hammertoe repair: a case report. J Foot Ankle Surg. 2010;49:179–81.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Kris DiNucci
    • 1
  • Kenneth Hegewald
    • 2
  1. 1.Foot and Ankle Center of ArizonaScottsdaleUSA
  2. 2.Cascade Orthopedics and Sports Medicine CenterHood RiverUSA

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