[Surgical treatment of recurrent XXXX ].

@entity1 @entity4553 @entity158
PURPOSE OF THE STUDY: Little work has been reported on the treatment of recurrent @entity4553 . We reviewed 64 cases after surgical treatment in order to ascertain the cause of recurrence, results of the treatment given, and deduce therapeutic options and indications. MATERIAL AND METHODS: Fifty-nine @entity1 had 64 recurrent @entity4553 . Mean age of the @entity1 was 58 years, 54 @entity1 and 5 @entity1 . The clinical and radiographic preoperative work-up led to two categories of treatments. In 35 cases, conservative treatment was used to re-align the axis by procedures on the soft tissues either alone or in combination with MacBride tendon transfers, metatarsal osteotomies, or osteotomies to shorten the first phalange. In 29 cases, metatarsophalangeal arthrodesis was used. @entity1 satisfaction, @entity158 , deformation, shoe wearing and activity were recorded at follow-up. The same radiological parameters were used postoperatively to assess anatomic results. RESULTS: Mean follow-up was more than 6 years (range 2-18 years). The subjective result was good in 52 cases. The objective result was good in 50 cases and poor in 14 (including 7 cases with insufficient correction). The results were analyzed by type of treatment. DISCUSSION: The preoperative analysis demonstrated that recurrence is due to insufficient initial treatment which must take into account all the components leading to the deformation. Arthrodesis gave a good result in 83% of the cases and conservative treatment gave a good result in 71%. Thus, in our opinion, no one type of treatment of recurrent @entity4553 can be applied for all @entity1 . Nevertheless, conservative treatment should associate complementary procedures that can be deduced from the clinical and radiological analysis.
