Butler Arthroplasty for Correction of the Adducted Fifth Toe: A Retrospective Study of 36 Operations Between 1968 and 1982.Black, G B M.D., F.R.C.S.(C); Grogan, D P M.D.; Bobechko, W P M.D., F.R.C.S.(C)Journal of Pediatric Orthopaedics: July/August 1985 Original Article: PDF Only Abstract Summary: This is a retrospective study of 30 children and adolescents who have undergone Butler arthroplasty for correction of an overriding fifth toe. Bilateral operations were performed on six patients, giving a total of 36 operations. Good to excellent results were obtained in 34 of the 36 operations. With attention to detail, this is a simple and safe operation. Full correction is obtainable without postoperative splintage or cast immobilization. This study represents the only reported experience in North America of this little-known procedure (C) Lippincott-Raven Publishers.