Extensive lesser toes plantar plate tears reconstruction: A novel surgical technique with short-term clinical observations

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Authors: Ricardo G. Villar, Daniel Soares Baumfeld, Caio Augusto de Souza Nery, Marcelo Pires Prado
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Abstract

Extensive lesser toes plantar plate tears still challenge surgeons, as primary repair is not feasible. Reconstructive procedures used in these cases are often associated with stiffness, persistence of discomfort, floating toe, vascular compromise, and amputation. We describe a new technique, based on the concept of synthetic neoligamentplasty, in which synthetic tape and absorbable screws are used to achieve metatarsophalangeal joint stabilization in extensive tears (grade IV). Level of evidence IV.

Fields of Study & Subjects

Foot and Ankle Surgery Diabetic Foot Ulcer Assessment and Management Facial Rejuvenation and Surgery Techniques

Publication details

Journal / source
Journal of the Foot & Ankle
Volume
19
Issue
3
Pages
6–6
Publication date
6 January 2026
Language
EN