{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:33:11Z","timestamp":1792801991331,"version":"4.5.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T00:00:00Z","timestamp":1604275200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This retrospective study aimed to describe the techniques and results of distal metatarsal segmental shortening (DMSS) for the treatment of chronic irreducible metatarsophalangeal (MTP) dislocation of lesser toes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed patients who underwent DMSS for chronic dislocation of MTP joints of lesser toes between January 2010 and December 2017 with follow-up of at least 24 months. Demographic data, radiographic measurements, functional outcomes, and complications were analyzed. Furthermore, the results of patients with short segment of shortening (group I, &lt;10 mm) were compared to those with long segment of shortening (group II, \u226510 mm). A total of 43 MTP joints of 30 patients with an average age of 70.4 years were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Union was observed in 42 metatarsals (97.7%). Mean American Orthopaedic Foot &amp; Ankle Society scale scores improved significantly from 42.2 (range, 15-65) preoperatively to 79.1 (range, 52-90) ( P &lt; .001). Mean visual analog scale pain score improved significantly from 5.0 (range, 1-9) preoperatively to 1.8 (range, 0-6) ( P &lt; .001). Complications included 1 nonunion, 1 osteonecrosis, 3 metatarsal angulation, 4 recurrent instability, 4 symptomatic osteoarthritis, 3 transfer metatarsalgia, and 1 floating toe. Group I included 23 MTP joints and group II included 20 MTP joints. There was no significant difference in clinical outcomes and complications between the 2 groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>DMSS was a reliable procedure for the treatment of chronic irreducible dislocated MTP joint of lesser toes. It provided satisfactory surgical outcomes and a low rate of postoperative complications, regardless of length of metatarsal shortening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100720961086","type":"journal-article","created":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T00:16:06Z","timestamp":1604362566000},"page":"183-191","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Distal Metatarsal Segmental Shortening for the Treatment of Chronic Metatarsophalangeal Dislocation of Lesser Toes"],"prefix":"10.1177","volume":"42","author":[{"given":"Tzu-Cheng","family":"Yang","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei,Taiwan"},{"name":"Department of Orthopaedics, School of Medicine, National Yang-Ming University, Taipei,Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun-Hsuan","family":"Tzeng","sequence":"additional","affiliation":[{"name":"Division of Medical Imaging for Health Management, Cheng-Hsin General Hospital, Taipei,Taiwan"},{"name":"Department of Radiology, School of Medicine, National Yang-Ming University, Taipei,Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien-Shun","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei,Taiwan"},{"name":"Department of Orthopaedics, School of Medicine, National Yang-Ming University, Taipei,Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming-Chau","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medicine, National Yang-Ming University, Taipei,Taiwan"},{"name":"Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei,Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9889-3294","authenticated-orcid":false,"given":"Chao-Ching","family":"Chiang","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Trauma, Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei,Taiwan"},{"name":"Department of Orthopaedics, School of Medicine, National Yang-Ming University, 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