Luis M Marti-Martinez1, Rubén Lorca-Gutierrez2, Salvador Pedro Sánchez-Pérez3, Jonatan Garcia-Campos3, Nadia Fernández Ehrling2, Javier Ferrer-Torregrosa2. 1. Behavioural and Health Sciences Department, Miguel Hernandez University, Ctra. Alicante-Valencia s/n, 03550, San Juan de Alicante, Spain. lmarti@umh.es. 2. Physiotherapy and Podiatry Department, Catholic university of Valencia San Vicente Mártir, Torrente, Spain. 3. Behavioural and Health Sciences Department, Miguel Hernandez University, Ctra. Alicante-Valencia s/n, 03550, San Juan de Alicante, Spain.
Abstract
BACKGROUND: Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes. METHODS: This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment. RESULTS: At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p < 0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment. CONCLUSIONS: Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.
BACKGROUND: Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes. METHODS: This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment. RESULTS: At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p < 0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment. CONCLUSIONS: Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.
Entities:
Keywords:
Foot; Heloma; Interdigital corn; Minimal invasive surgery
Authors: Jill Dawson; Margaret Thorogood; Sally-Anne Marks; Ed Juszczak; Chris Dodd; Grahame Lavis; Ray Fitzpatrick Journal: J Public Health Med Date: 2002-06
Authors: Luis M Marti-Martinez; Alba Gracia-Sánchez; Javier Ferrer-Torregrosa; Rubén Lorca-Gutierrez; Jonatan Garcia-Campos; Salvador Pedro Sánchez-Pérez Journal: J Foot Ankle Res Date: 2019-02-14 Impact factor: 2.303
Authors: Eduardo Nieto-García; Javier Ferrer-Torregrosa; Leonor Ramírez-Andrés; Elena Nieto-González; Alfonso Martinez-Nova; Carlos Barrios Journal: J Orthop Surg Res Date: 2019-09-11 Impact factor: 2.359