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PIPJ Arthrodesis with a One-Component Metallic Implant

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Hammertoes

Abstract

Lesser toe deformities are a common pathology seen by foot and ankle surgeons. There are numerous fixation choices for these difficult deformities. Historically, Kirschner wires have been utilized in maintaining the corrected toe as it goes onto fusion or stable resection arthroplasty. K-wires have several inherent risks, documented well in the literature, which has led to the development of the intramedullary implant. The one-component metallic implant has become the mainstay treatment for complex hammertoe deformity. The purpose of this chapter is to highlight the development of the one-component metallic hammertoe fixation prosthesis and explore the advantages and disadvantages of the individual systems.

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References

  1. Coughlin MJ. Operative repair of the mallet toe deformity. Foot Ankle Int. 1995;16(3):109–16.

    Article  CAS  Google Scholar 

  2. Harmonson JK, Harkless LB. Operative procedures for the correction of hammertoe, claw toe, and mallet toe: a literature review. Clin Podiatr Med Surg. 1996;13(2):211–20.

    CAS  PubMed  Google Scholar 

  3. Coughlin M. Lesser toe deformities. In: Coughlin MJMR, Saltzmann CL, editors. Surgery of the foot and ankle. 8th ed. Philadelphia: Mosby; 2007. p. 389–90.

    Google Scholar 

  4. Alvine FG, Garvin KL. Peg and dowel fusion of the proximal interphalangeal joint. Foot Ankle. 1980;1(2):90–4.

    Article  CAS  Google Scholar 

  5. Taylor RG. An operative procedure for the treatment of hammer-toe and claw-toe. J Bone Joint Surg Am. 1940;22(3):608–9.

    Google Scholar 

  6. Zingas C, Katcherian DA, Wu KK. Kirschner wire breakage after surgery of the lesser toes. Foot Ankle Int. 1995;16(8):504–9.

    Article  CAS  Google Scholar 

  7. Reece AT, Stone MH, Young AB. Toe fusion using Kirschner wire. A study of the postoperative infection rate and related problems. J R Coll Surg Edinb. 1987;32(3):158–9.

    CAS  PubMed  Google Scholar 

  8. Caterini R, Farsetti P, Tarantino U, Potenza V, Ippolito E. Arthrodesis of the toe joints with an intramedullary cannulated screw for correction of hammertoe deformity. Foot Ankle Int. 2004;25(4):256–61.

    Article  CAS  Google Scholar 

  9. Galli MM, Brigido SA, Protzman NM. Pinning across the metatarsophalangeal joint for hammertoe correction: where are we aiming and what is the damage to the metatarsal articular surface? J Foot Ankle Surg. 2014;53(4):405–10.

    Article  Google Scholar 

  10. Coughlin MJ. Lesser toe deformities. Orthopedics. 1987;10(1):63–75.

    CAS  PubMed  Google Scholar 

  11. Ellington JK, Anderson RB, Davis WH, Cohen BE, Jones CP. Radiographic analysis of proximal interphalangeal joint arthrodesis with an intramedullary fusion device for lesser toe deformities. Foot Ankle Int. 2010;31(5):372–6.

    Article  Google Scholar 

  12. Konkel KF, Menger AG, Retzlaff SA. Hammer toe correction using an absorbable intramedullary pin. Foot Ankle Int. 2007;28(8):916–20.

    Article  Google Scholar 

  13. Lehman DE, Smith RW. Treatment of symptomatic hammertoe with a proximal interphalangeal joint arthrodesis. Foot Ankle Int. 1995;16(9):535–41.

    Article  CAS  Google Scholar 

  14. Pietrzak WS, Lessek TP, Perns SV. A bioabsorbable fixation implant for use in proximal interphalangeal joint (hammer toe) arthrodesis: biomechanical testing in a synthetic bone substrate. J Foot Ankle Surg. 2006;45(5):288–94.

    Article  Google Scholar 

  15. Shaw AH, Alvarez G. The use of digital implants for the correction of hammer toe deformity and their potential complications and management. J Foot Surg. 1992;31(1):63–74.

    CAS  PubMed  Google Scholar 

  16. Taylor RG. The treatment of claw toes by multiple transfers of flexor into extensor tendons. J Bone Joint Surg Br. 1951;33-B(4):539–42.

    Article  CAS  Google Scholar 

  17. Catena F, Doty JF, Jastifer J, Coughlin MJ, Stevens F. Prospective study of hammertoe correction with an intramedullary implant. Foot Ankle Int. 2014;35(4):319–25.

    Article  Google Scholar 

  18. Coillard JY, Petri GJ, van Damme G, Deprez P, Laffenetre O. Stabilization of proximal interphalangeal joint in lesser toe deformities with an angulated intramedullary implant. Foot Ankle Int. 2014;35(4):401–7.

    Article  Google Scholar 

  19. Scott RT, Hyer CF, Berlet GC. The PROTOE intramedullary hammertoe device: an alternative to Kirschner wires. Foot Ankle Spec. 2013;6(3):214–6.

    Article  Google Scholar 

  20. Witt BL, Hyer CF. Treatment of hammertoe deformity using a one-piece intramedullary device: a case series. J Foot Ankle Surg. 2012;51(4):450–6.

    Article  Google Scholar 

  21. Roukis TS. A 1-piece shape-metal nitinol intramedullary internal fixation device for arthrodesis of the proximal interphalangeal joint in neuropathic patients with diabetes. Foot Ankle Spec. 2009;2(3):130–4.

    Article  Google Scholar 

  22. Scholl A, McCarty J, Scholl D, Mar A. Smart toe(R) implant versus buried Kirschner wire for proximal interphalangeal joint arthrodesis: a comparative study. J Foot Ankle Surg. 2013;52(5):580–3.

    Article  Google Scholar 

  23. Angirasa AK, Barrett MJ, Silvester D. SmartToe(R) implant compared with Kirschner wire fixation for hammer digit corrective surgery: a review of 28 patients. J Foot Ankle Surg. 2012;51(6):711–3.

    Article  Google Scholar 

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Scott, R.T., Hyer, C.F., Berlet, G.C. (2019). PIPJ Arthrodesis with a One-Component Metallic Implant. In: Cook, E., Cook, J. (eds) Hammertoes. Springer, Cham. https://doi.org/10.1007/978-3-319-16552-3_8

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  • DOI: https://doi.org/10.1007/978-3-319-16552-3_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16551-6

  • Online ISBN: 978-3-319-16552-3

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