Treatment of dynamic claw toe deformity flexor digitorum brevis tendon transfer to interosseous and lumbrical muscles: a literature survey.

The authors report the results of a literature survey of corrective surgical treatment based on FDL and FDB tendon transfer for dynamic claw toe deformities. The study revealed that FDL transfer was first described in 1967 by Malcolm A. Brahms in "Common Foot Problems", and FDB transfer was first mentioned in 1993 in the first edition of the treatise by G. Pisani "Trattato di Chirurgia del Piede". The paper also discusses the functional effect of FDB transfer, compared to FDL transfer.

General anesthesia with spontaneous ventilation without intubation for short-stay operations.

BACKGROUND: The choice of the anesthetic technique plays a decisive role in the use of operating protocols in day hospital or short-stay given that full compliance with surgical needs must be associated with rapid recovery and the patient's renewed autonomy leading to discharge in total safety. METHODS: The use of spontaneous ventilation general anesthesia without intubation is proposed for all operations not requiring muscular paralysis and where the patient's conditions are compatible. The authors describe the technique used and its utilisation in over 4,000 patients undergoing orthopedic surgery of the leg. RESULTS: Using rapid clearance drugs with minimum metabolic involvement this anesthetic technique allows a full postoperative recovery within a short time and with no immediate or long-term sequelae. CONCLUSIONS: It can be used for short-stay or day-case surgery when concomitant with adequate surgical requirements.