Correction of congenital crossover fifth toe. A, Preoperative appearance. B, Z-incision with 60-degree angles. Arrows indicate direction flaps are transposed to allow lengthening along longitudinal axis of Z-plasty. (From Thordarson DB: Congenital crossover fifth toe correction with soft-tissue release and cutaneous Z-plasty, Foot Ankle Int 22:511–512, 2001.) SEE TECHNIQUE 29.6.