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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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Introduction Deformities of the lesser toes are a frequently-encountered condition associated with significant morbidity. Data from the Swedish registries suggests that almost a quarter of patients undergoing forefoot surgery had lesser toe

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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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hallux valgus deformity because of their higher load capacity compared to polylactide pins. 9 More slender pins and pin-like devices are used in procedures of the lesser toes. Biodegradable plates, as used in orthognathic surgery, have not made their way

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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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92% according to the records of the preoperative clinical examination. 5 The lesser toes should also be carefully inspected. Sometimes one can clearly see widening of the affected web space (possibly due to space occupying perineural fibrosis or

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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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. While a carbon fibre footplate provides coverage of the entire foot, a Morton’s extension leaves the lesser toe MTP joints uncovered, which may be desirable in young and active patients ( Fig. 1 ). Carbon fibre inserts are paired with overlying soft

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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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hallucis longus and extensor digitorum longus as secondary ankle dorsiflexors will lead to ‘cock-up’ deformity of the hallux and clawtoe deformity of the lesser toes. To allow the toe pulp to touch the ground, the flexor muscles of the toes contract

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Wout Füssenich Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Gesine H Seeber Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
University Hospital for Orthopaedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany

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Julian R Zwoferink Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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Matthijs P Somford Department of Orthopedic Surgery, Rijnstate Hospital, Arnhem, The Netherlands

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Martin Stevens Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands

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procedure in the lesser toes . Foot 2014 24 56 – 61 . ( https://doi.org/10.1016/j.foot.2014.02.006 ) 24684777 31. Chan JJ Sarkar SS Nordio A Guzman JZ Hasija R & Vulcano E . Failure of fixation with nickel-titanium staples in first

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

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Karan Malhotra Department of Radiology, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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Paul O’Donnell Department of Foot & Ankle Surgery, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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

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Nicholas Cullen Department of Foot & Ankle Surgery, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK

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an underlying neuromuscular disorder such as Charcot Marie Tooth. Note should also be taken of any wasting of the intrinsic muscles, clawing of the lesser toes or a plantar flexed first ray. Patients may also have a non-neurological or subtle pes

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E. Mascard Necker University Hospital, 75015 Paris, France.

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N. Gaspar Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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L. Brugières Department of Pediatrics, Institute Gustave Roussy, 94805 Villejuif, France

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C. Glorion Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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S. Pannier Orthopedic Surgery Department, Necker University Hospital, 149 rue de Sèvres, 75015 Paris, France

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A. Gomez-Brouchet Laboratoire d'anatomie et cytologie pathologiques, Institut Universitaire du Cancer de Toulouse- Oncopole, 1 avenue Irène Joliot-Curie. 31059 Toulouse Cedex 9, France

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reconstruction and secondary skin grafting. 53 In all cases, healing of the wound should not delay the adjuvant treatment (chemotherapy and radiotherapy). 33 Amputation After amputation of lesser toes, an orthosis can help in keeping the other

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