Open AccessDescription of the surgical technique for condylectomy with minimally invasive surgery to treat interdigital helomas on the lesser toes: a Delphi study
Author(s) -
MartiMartinez Luis M.,
GraciaSánchez Alba,
FerrerTorregrosa Javier,
LorcaGutierrez Rubén,
GarciaCampos Jonatan,
SánchezPérez Salvador Pedro
Publication year - 2019
Publication title -
journal of foot and ankle research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.763
H-Index - 39
ISSN - 1757-1146
DOI - 10.1186/s13047-019-0322-5
Subject(s) - medicine , proximal phalanx , delphi method , observational study , delphi , surgery , medical physics , physical therapy , computer science , artificial intelligence , operating system , pathology
Background Descriptions of the techniques for condylectomies via minimally invasive surgery (MIS) to treat interdigital helomas of the lesser toes are scarce in the literature. This study aimed to define and describe this surgical technique. Methods This observational study was performed using the Delphi method. We collected the anonymous opinions of a multidisciplinary international panel of ten experts by answering a 43‐items questionnaire via e‐mail. Statements with an average score ≥ 3 were included in the next round, as were those in which none of the three statements reached the minimum score of 3 within the same item. Results Response rate: 90%. Three rounds were needed to reach consensus on proposed items. A new statement that combined two statements was proposed in round 3. Eleven recommendations regarding the incision and instruments used to perform this surgical technique were obtained based on the expert consensus. Conclusions A longitudinal incision to the distal pulp of the toe or an incision to the centre of the plantar aspect of the head of the proximal phalanx should be performed according to the affectation, and a Beaver 64 scalpel blade, a blunt elevator and a Shannon‐Isham burr are the most acceptable tools for this kind of surgery.