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Crossover Toe Correction 28313

crossover toe picture
CPT Coding Technique
Indications Complications
Contraindications Follow-up Care / Rehab Protocol
Alternatives Outcomes
Pre-op Planning / Case Card Review References

synonyms:crossover toe, weil osteotomy, plantar plate repair

 Crossover Toe Correction CPT

Crossover Toe Correction Indications

  • Crossover toe
  • Floating toe

 Crossover Toe Correction Contraindications

  •  infection

Crossover Toe Correction Alternatives

  • A

Crossover Toe Correction Pre-op Planning

  • Ensure appropriate fixation and instrumentation is available.  Consider Arthrex Complete Plantar Plate set.

Crossover Toe Correction Technique

  • Pre-op antibiotics
  • Sign operative site
  • All bony prominences well padded.
  • Anesthesia
  • Prep and drap
  • Dorsal incision centered over 2nd MTP joint.
  • Dissection done under 2.5x magnification.  Extensor tendon preserved and mobilized laterally. 
  • McGlamry Elevator utilized for mobilization.
  • Weil osteotomy performed, and capital fragment pushed back with the metatarsal pusher 8–10 mm and pinned with a 0.062 K-wire.
  • Second 0.062 K wire placed in proximal fragment. 
  • Small Joint Distractor placed and plantar plate exposed. 
  • Plantar plate released from the base of the proximal phalanx as close to the insertion of the proximal phalanx as possible.
  • Mini Scorpion used to place 2 sutures in the plantar plate in an inverted mattress configuration.
  • The distractor removed as well as the distal k-wire.
  • Two parallel holes placed with a K-wire from anterior to posterior in the base of the proximal phalanx with the K-Wire exiting just below the plantar cartilage.
  • The k-wire removed from the metatarsal and the capital fragment from the prior osteotomy positioned and secured with a QuickFix screw.
  • The toe placed in 10-15 degrees of plantar translation and the the planter plate sutures tied over the base of the proximal phalanx firmly restoring the plantar plate.
  • Irrigate
  • Closure

Crossover Toe Correction Complications

Crossover Toe Correction Follow-up care

  • Post-op:hard soled shoe
  • 7-10 Days:
  • 3 Weeks:
  • 6 Weeks:
  • 2 Months:
  • 3 Months:
  • 6 Months:
  • 1Yr:

Crossover Toe Correction Outcomes

Crossover Toe Correction Review References

 

 

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