Digital Syndactylization for Interspace Wounds
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Troy J. Boffeli, DPM, FACFAS Department Head, Foot & Ankle Surgery, HealthPartners Medical Group Director, Foot & Ankle Surgical Residency Training, Regions Hospital I have no financial disclosures and will not discuss off label or investigative use of products or devices Foot & Ankle Surgical Symposium April 25-26, 2014 Digital Syndactylization for Interspace Wounds
Transcript of Digital Syndactylization for Interspace Wounds
Troy J. Boffeli, DPM, FACFAS Department Head, Foot & Ankle Surgery,
HealthPartners Medical Group
Director, Foot & Ankle Surgical Residency Training, Regions Hospital
I have no financial disclosures and will
not discuss off label or investigative
use of products or devices
Foot & Ankle Surgical Symposium
April 25-26, 2014
Digital Syndactylization for
Interspace Wounds
Indications for Syndactylization
• Interdigital ulceration
Indications for Syndactylization
• Deep interspace HM
Indications for Syndactylization
• Digital instability after revision arthroplasty
with excessive bone loss
Indications for Syndactylization
• Overlapping 5th hammertoe
Indications for Syndactylization
Overlapping 2nd hammertoe?
Xray Considerations
Syndactylization with Arthroplasty
“Operative Repair of Fourth and Fifth Toe Corns” Coughlin, Foot Ankle Int: 147-157 1993
Bone Resection Options
Goal to Avoid Webbed Toe Appearance
• Goal is incomplete
syndactylization
Video of Skin Markings (8835-T50)
Controlled Depth Excision of Lesion
Controlled Depth Incision (video 9826)
Disarticulate for PIPJ Arthroplasty
After PIPJ
Arthroplasty
Suture Management
Suture Technique (video 9830)
2 Weeks Postop
Preop & Postop Xrays
Difficult Suture
Removal
