EFFECTIVENESS OF THE COBB-STAINSBY EXCISION ARTHROPLASTY

• Published in: Foot and ankle surgery Vol. 24; no. 1; pp. 49 - 53
• Main Authors: Matthews, A.H, Jagodzinski, N.A, Westwood, M, Metcalfe, J.E, Trimble, K.T
• Format: Journal Article
• Language: English
• Published: France Elsevier Ltd 01.02.2018
• Subjects: Adult; Aged; Aged, 80 and over; Arthroplasty; Claw toe; Female; Foot Deformities, Acquired - etiology; Foot Deformities, Acquired - surgery; Hallux valgus; Hammer toe; Hammer Toe Syndrome - etiology; Hammer Toe Syndrome - surgery; Humans; Male; Metatarsal Bones - surgery; Metatarso-phalangeal joints; Metatarsophalangeal Joint - injuries; Metatarsophalangeal Joint - surgery; Middle Aged; Orthopedics; Plantar plate; Retrospective Studies; Stainsby; Tendon Transfer; Toe Phalanges - surgery; Young Adult; Stainsby; Metatarso-phalangeal Joints; Claw toe; Plantar Plate; Hammer toe; Hallux Valgus; Hallux valgus; Plantar plate; Metatarso-phalangeal joints
• ISSN: 1268-7731; 1460-9584
• DOI: 10.1016/j.fas.2016.11.007

Highlights • Dorsally dislocated claw or hammer toes are a common source of discomfort in the forefoot for patients with inflammatory and non-inflammatory arthritidies. • The Stainsby procedure permits relocation of the plantar plate under the metatarsal head for cushioned weight-bearing but the literature shows poor cosmesis and high infection rates. • By combining the Stainsby with the Cobb tendon tranfer, we have shown an excellent reduction in pain, callosities and activity limitation with lower infection rates. • Our results compare favourable with the Weil’s osteotomy in regards to toe alignment, metatarsalgia and recurrence. • We believe that the Cobb-Stainsby technique is a useful and technically simple method for correcting dislocated claw or hammer toes regardless of aetiology.