1. Correction of Crossover Toe Deformity by Arthroscopically Assisted Plantar Plate Tenodesis 
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S. 
Arthroscopy Techniques 
Volume 5, Issue 6, Pages e1273-e1279 (December 2016)
DOI: /j.eats
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Correction of the crossover left second toe by arthroscopically assisted plantar plate tenodesis. Dorsolateral portal (DLP) is the viewing portal. (A) The medial collateral ligament is cut by an arthroscopic scissors via the dorsomedial portal (DMP). (B) Arthroscopic view shows that the medial capsule (MC) is cut open. (MT, metatarsal head.)
Arthroscopy Techniques 2016 5, e1273-e1279DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
Correction of the crossover left second toe by arthroscopically assisted plantar plate tenodesis. Dorsomedial portal (DMP) is the viewing portal. (A) A straight-eyed needle loaded with a No. 1 PDS (polydioxanone) suture is inserted via the dorsolateral portal (DLP). (B) The No. 1 PDS suture passes through the lateral part of the plantar plate (PLP) close to its phalangeal insertion. (MT, metatarsal head; PP, proximal phalanx.) (C) A hemostat is inserted along the lateral side of the metatarsal via the proximal incision (PI) to catch the suture limb at the plantar surface of the fibrous flexor tendon sheath. (D) The suture limb is retrieved to the proximal incision.
Arthroscopy Techniques 2016 5, e1273-e1279DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
Correction of the crossover left second toe by arthroscopically assisted plantar plate tenodesis. Dorsomedial portal (DMP) is the viewing portal. (A) The straight-eyed needle loaded with the other limb of the No. 1 polydioxanone suture is inserted via the dorsolateral portal (DLP). (B) Arthroscopic view shows that the needle (N) pierces the plantar plate (PLP) proximal to the previous suture entry point.
Arthroscopy Techniques 2016 5, e1273-e1279DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
Correction of the crossover left second toe by arthroscopically assisted plantar plate tenodesis. (A) Hemostat is inserted along the lateral side of the metatarsal via the proximal incision (PI) to catch the other limb of the polydioxanone (PDS) suture at the plantar surface of the fibrous flexor tendon sheath. A suture loop is maintained at the dorsolateral portal (DLP) to allow tensioning of the suture. This helps the hemostat to catch the suture. (B) The suture is retrieved to the proximal incision. (C) Arthroscopic view shows that the lateral part of the plantar plate (PLP) is grasped by the PDS suture. (PP, proximal phalanx.) (D) Medial deviation of the second toe can be corrected by tensioning of the suture.
Arthroscopy Techniques 2016 5, e1273-e1279DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6. Fig 5
Correction of the crossover left second toe by arthroscopically assisted plantar plate tenodesis. Another No. 1 PDS (polydioxanone) suture is applied to grasp the lateral part of the plantar plate. Dorsomedial portal is the viewing portal. (A) The plantar plate is inserted via the dorsolateral portal and pierced by a straight-eyed needle medial to the previous suture entry points. (B) The other PDS suture passes through the plantar plate together with the needle. (C) Arthroscopic view shows that the plantar plate is grasped by 2 PDS sutures. (MT, metatarsal head; PLP, plantar plate; PP, proximal phalanx.)
Arthroscopy Techniques 2016 5, e1273-e1279DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

7. Fig 6
Correction of the crossover left second toe by arthroscopically assisted plantar plate tenodesis. (A) The No. 1 polydioxanone sutures are sewed to the extensor digitorum longus (EDL) tendon to the second toe. (B) The sutures are tightened and tied on the extensor tendon to correct the crossover toe deformity. (C) Preoperative clinical photo of the illustrated case shows the crossover toe deformity of the second toe. (D) The crossover toe deformity is corrected after plantar plate tenodesis.
Arthroscopy Techniques 2016 5, e1273-e1279DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions