{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:39:30Z","timestamp":1747190370045,"version":"3.40.5"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T00:00:00Z","timestamp":1605744000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2020,11,19]]},"abstract":"<jats:p>\u201cSplay toe\u201d is a rare deformity of the forefoot and often causes the occurrence of metatarsalgia and dysfunction while walking or weight bearing. Since it involves a deviation in the sagittal and transversal planes, often combined with a malrotation, surgical correction can be challenging. We describe a case of splay toe deformity in the forefoot causing metatarsalgia in a 62-year-old female patient with a former avascular osteonecrosis of the 2 metatarsal head Smillie stage V of Freiberg-K\u00f6hler\u2019s disease causing a splay toe between the 2nd and the 3rd rays. There are only few reports in the literature, and a clear treatment strategy has not been defined, yet, although, it has been described that most of these patients are operated more than once. In the presented case, we performed a successful treatment by a combined surgical technique consisting in modified Weil\u2019s osteotomy and the transfer of the extensor brevis tendon. We sustain that for correction of a multiplanar deformity of lesser toe deformities osseous correction as well as tendon transfer lead to successful therapy.<\/jats:p>","DOI":"10.1155\/2020\/8830166","type":"journal-article","created":{"date-parts":[[2020,11,21]],"date-time":"2020-11-21T18:05:06Z","timestamp":1605981906000},"page":"1-5","source":"Crossref","is-referenced-by-count":0,"title":["Splay Toe after Freiberg-K\u00f6hler\u2019s Osteonecrosis: A Case Report of a Successful Operative Treatment in a Rare Multiplanar Foot Deformity"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2637-2625","authenticated-orcid":true,"given":"Martin","family":"Riegger","sequence":"first","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Ospedale S. Giovanni di Bellinzona e valli, Ospedale Regionale di Lugano, Via Ospedale, CH-6500 Bellinzona, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4005-0331","authenticated-orcid":true,"given":"Marco","family":"Guidi","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery and Hand Surgery, Universit\u00e4tsspital Z\u00fcrich, R\u00e4mistrasse 100, Z\u00fcrich, CH 8091, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8136-0977","authenticated-orcid":true,"given":"Giuseppe","family":"Filardo","sequence":"additional","affiliation":[{"name":"Istituto Ortopedico Rizzoli, Universit\u00e0 degli Studi di Bologna, Scuola di Medicina e Chirurgia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3543-981X","authenticated-orcid":true,"given":"Christian","family":"Candrian","sequence":"additional","affiliation":[{"name":"Department of Orthopedic and Trauma Surgery, Ospedale Regionale di Lugano, Via Tesserete 46, Lugano, Ticino, CH 6900, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2017.09.003"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1007\/s00064-018-0548-6"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1007\/s001320050034"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2019.08.009"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1177\/1602400315"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2017.10.002"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2013.10.003"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201108000-00006"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1177\/1938640016681069"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-34746-7_194"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714568013"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713475433"},{"key":"13","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/003591576706000117","article-title":"Treatment of Freiberg\u2019s infraction","volume":"60","author":"I. 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