Research Article| Volume 40, ISSUE 5, P502-504, September 1987

Artificial syndactylisation for congenital crossed toes

      This paper is only available as a PDF. To read, Please Download here.


      Congenital crossed toe is a common deformity which frequently causes disability. The fifth toe is affected and over-rides the fourth toe. Correction is carried out to relieve pain caused by pressure and to improve appearance. Methods of correction range from conservative manipulation and splintage to radical amputation. The method of syndactylisation is a plastic procedure which is simple, safe and reliable.


        • Cockin J.
        Butler's operation for an over-riding fifth toe.
        Journal of Bone and Joint Surgery. 1968; 50B: 78
        • Colonna P.C.
        Regional Orthopaedic Surgery.
        W. B. Saunders, Philadelphia and London1950
        • Kelikian H.
        • Clayton L.
        • Loseff H.
        Surgical syndactylisation of the toes.
        Clinical Orthopaedics. 1961; 19: 208
        • Lapidus P.W.
        Transplantation of the extensor tendon for correction of the over-riding fifth toe.
        Journal of Bone and Joint Surgery. 1942; 24: 555
        • Leonard M.H.
        • Rising E.E.H.
        Syndactylization to maintain correction of overlapping 5th toe.
        Clinical Orthopaedics. 1965; 43: 241
        • McFarland B.
        Congenital deformities of the spine and limbs.
        in: Sir Harry Platt Modern Trends in Orthopaedics. Butterworth & Co., London1950
        • Scrase W.H.
        The treatment of dorsal adduction deformities of the fifth toe.
        Journal of Bone and Joint Surgery. 1954; 36B: 146