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Karan Malhotra Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Kinner Davda Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Dishan Singh Foot & Ankle Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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series. Each patient, and indeed each toe, is unique and in order to choose the most appropriate treatment strategy a thorough understanding of the anatomy and pathology of lesser toe deformities is required. We discuss the basic anatomy of the lesser

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Lorenz Pisecky Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Matthias Luger Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Antonio Klasan Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Tobias Gotterbarm Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Matthias C. Klotz Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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Rainer Hochgatterer Department for Orthopaedics and Traumatology, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria

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arthrodesis of lesser toe deformities Retrospective 56 Hammer toe Arthrodesis Polylactide 24/26 20 patients (86%) satisfied Konkel et al, 2011 30 Hammer toe correction using an absorbable pin Prospective 66 Hammer toe Arthrodesis

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Carlos Maynou CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Christophe Szymanski CHU Lille, Orthopaedic Department, F-59000 Lille, France

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Alexis Thiounn CHU Lille, Orthopaedic Department, F-59000 Lille, France

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case of progression of their arthritis. 40 Associated toe deformities Appropriate osteotomies of the midfoot provide some degree of correction of the claw toe deformities and flexible correctible claw toes may improve spontaneously after

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Matías Sepulveda Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, LEGEC Expert Group, Davos, Switzerland

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Gabriel Orellana Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Francisco Sanchez Clínica Puerto Varas, Puerto Varas, Chile
Clínica Puerto Montt, Puerto Montt, Chile

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Estefania Birrer Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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evaluation, it is important that a possible association with genetic disorders is evaluated in addition to the obvious deformity in the metatarsals ( Fig. 2 ). Other signs including toe deformities, plantar hyperkeratosis (translating transfer metatarsalgia

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Bryant Ho Hinsdale Orthopaedics, Hinsdale, Illinois, USA

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Judith Baumhauer University of Rochester, Department of Orthopaedics, Rochester, New York, USA

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reviewed 75 feet after Keller resection arthroplasty with an average follow-up of 31 months in low-demand patients over the age of 50 years. 20 They reported pain relief in 91% of patients with a 77% satisfaction rate. A cock-up toe deformity was found

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Nikolaos Gougoulias Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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Vasileios Lampridis Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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Anthony Sakellariou Frimley Health NHS Foundation Trust. Frimley Park Hospital, UK

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intermetatarsal/perineural bursitis), and the patient will have very often noticed this gradually developing, in association with symptoms becoming apparent. Lesser toe deformities (e.g. clawed, or hammer toes) are often the result of chronic degeneration and

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