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Physical therapy and bracing
11%
66/622
Reassurance that the deformity will resolve with time
0%
3/622
Achilles tendon lengthening, and release or retromalleolar lengthening of the flexor digitorum longus (FDL) and flexor hallucis longus (FHL)
66%
410/622
FDL and FHL tenotomies at the individual digits with transfer of the posterior tibial tendon to the dorsum of the foot
14%
86/622
FDL and FHL tenotomies at the individual digits with midfoot capsular release and hallux interphalangeal fusion
8%
49/622
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This is an example of tethering of the flexor hallucis longus/flexor digitorum longus (FHL/FDL) to the fracture site. Additional time and/or physical therapy and bracing would not be expected to be of benefit. Release of the FHL and FDL from the fracture site or retromalleolar lengthening will address the posttraumatic claw toe deformity and Achilles tendon lengthening will address the mild equinus. Posterior tibial tendon transfer is not appropriate as the patient demonstrates a normal heel rise. Midfoot releases and hallux fusion are also not indicated.
2.6
(13)
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