keyword
https://read.qxmd.com/read/37942785/patient-reported-outcome-measurement-information-system-measures-for-proximal-interphalangeal-joint-arthrodesis-in-lesser-toe-deformities
#1
JOURNAL ARTICLE
Hannah R Martin, Anish R Kadakia
Although hammertoe (HT) is a common complaint among foot patients, there is little consensus on the best surgical approach for correction. These authors hypothesized that the use of a headless intramedullary screw across both the proximal interphalangeal joint (PIPJ) and distal interphalangeal joint (DIPJ) would decrease many post-surgical complications, such as infection, pain, and mallet toe deformity, found in traditional HT corrective surgical techniques. In this retrospective cohort study, N = 163 adult patients who had undergone DIPJ/PIPJ arthrodesis for HT correction at least 1 year prior to the study were identified...
November 9, 2023: Foot & Ankle Specialist
https://read.qxmd.com/read/37806485/minimally-invasive-versus-open-hammertoe-correction-a-retrospective-comparative-study
#2
JOURNAL ARTICLE
Sara Mateen, Shehryar Raja, Dominick J Casciato, Noman A Siddiqui
Hammertoe deformity is a common forefoot pathology, characterized by a progressive deformity with dorsiflexion of the proximal phalanx on the metatarsal head at the metatarsal phalangeal joint (MTPJ) and plantarflexion of the intermediate phalanx on the proximal phalanx at the proximal interphalangeal joint (PIPJ). While there is literature available discussing open techniques for hammertoe correction, there is a lack of publications discussing minimally invasive techniques, therefore the objective of this retrospective comparative study is to evaluate minimally invasive versus open hammertoe surgery in terms of time to osseous union, complications, recurrence, and return to full activity...
2024: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/36997364/novel-extramedullary-fixation-device-for-hammertoe-correction-a-retrospective-review-of-100-patients
#3
JOURNAL ARTICLE
James C Connors, Emily E Zulauf, Ali A Manji
Classically, one of the more common treatment options for rigid hammertoe correction consists of end-to-end arthrodesis stabilized by temporary Kirschner wire (K-wire) fixation maintained until osseous consolidation or complication necessitating premature removal. However, single K-wire fixation allows for axial rotation which results in loss of compression at the arthrodesis site. To counteract this, intramedullary implants were designed to provide fusion site stability in all planes negating extra-skeletal extension of the wire...
February 23, 2023: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/36697330/symptomatic-hammertoes-treatment-comparison-peg-in-hole-arthrodesis-versus-end-to-end-screw-fixation
#4
JOURNAL ARTICLE
Travis M Fitzke, Alexander C M Chong, Tiffany A Barth, Shivam H Patel, Timothy P Uglem
Proximal interphalangeal (PIP) arthrodesis technique utilizing the peg-in-hole arthrodesis was founded to avoid the use of retained internal fixation implants and thereby potentially decrease the concern of hardware complication. The specific aim of this study was to report the complication rates of the modified peg-in-hole arthrodesis technique and the end-to-end arthrodesis with single screw fixation technique for correcting symptomatic hammertoe deformities in lesser digits. This retrospective chart review included patients who underwent surgical hammertoe correction of lesser digits between the dates of January 2012 and December 2019...
January 9, 2023: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/35994405/intraosseous-technique-for-correction-of-hammertoe-deformity
#5
JOURNAL ARTICLE
Trent Lott, Charles Penvose, Gregory Alvarez
Hammertoe deformities are among the most common conditions treated by foot and ankle surgeons. Many different types of proximal interphalangeal joint arthrodesis fixation techniques have been used. These include implant fixation, absorbable fixation, screw fixation, two-pin fixation, and single-Kirschner wire fixation. Each of these has their own set of associated advantages and disadvantages. One of the most common techniques to address hammertoe deformity is the use of Kirschner wires. Although Kirschner wires have been reliable and produced good outcomes, there are some drawbacks associated with their use...
July 2022: Journal of the American Podiatric Medical Association
https://read.qxmd.com/read/35810126/hammertoe-correction-with-wire-fixation-of-varying-length
#6
JOURNAL ARTICLE
Patrick C Mayolo, Aaron Tran, Kristen Kress, David E Jaffe
BACKGROUND: Proximal interphalangeal (PIP) joint fusion with Kirschner (K) -wire fixation remains a popular strategy for hammertoe correction. This study was performed to evaluate the effect of length of wire fixation on clinical outcomes. METHODS: A retrospective review of all hammertoe reconstructions by a single surgeon was performed. Wire length was chosen at the surgeon's discretion. Outcomes were assessed with metatarsophalangeal (MTP) congruency, pin complications, and PIP union...
June 23, 2022: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/35773179/fiber-reinforced-fixation-implant-for-proximal-interphalangeal-joint-arthrodesis-shows-advanced-implant-bio-integration-at-2-year-follow-up
#7
JOURNAL ARTICLE
Jurij Štalc, Luke D Cicchinelli, Stuart Miller, Carolyn M Sofka, Martinus Richter
BACKGROUND: A bio-integrative fiber-reinforced implant (OSSIOfiber® Hammertoe Fixation Implant, OSSIO Ltd., Caesarea, Israel) for proximal interphalangeal joint (PIPJ) correction-arthrodesis showed partial bio-integration at 1-year follow-up (1FU) in a previous study. The study was prolonged to assess the bio-integration at 2-year-follow-up (2FU). METHODS: Twenty-four patients with proximal interphalangeal joint (PIPJ) correction-arthrodesis using the fiber-reinforced implant and analysed at 1FU, completed 2FU...
June 23, 2022: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/35030404/flexor-tenotomy-for-mallet-toe-with-penetration-of-the-middle-phalanx-head-by-dual-component-intramedullary-implant-following-proximal-interphalangeal-arthrodesis
#8
JOURNAL ARTICLE
Ichiro Tonogai
INTRODUCTION: There is a risk of mallet toe following proximal interphalangeal (PIP) joint fusion for hammertoe. Here we describe a rare case of penetration of the dorsal aspect of the middle phalanx head by the distal portion of a dual-component intramedullary implant during progression of mallet toe that was treated with flexor tenotomy. PRESENTATION OF CASE: A 59-year-old man underwent uneventful arthrodesis of the third PIP using a dual-component intramedullary implant and presented 6 months later with progressive mallet toe and swelling, pain, and ulceration over the distal interphalangeal joint of the third toe...
January 10, 2022: International Journal of Surgery Case Reports
https://read.qxmd.com/read/34247921/fiber-reinforced-fixation-implant-for-proximal-interphalangeal-joint-arthrodesis-shows-implant-bio-integration-at-1-year-follow-up
#9
JOURNAL ARTICLE
Jurij Štalc, Luke D Cicchinelli, Stuart Miller, Martinus Richter
BACKGROUND: A new bio-integrative fiber-reinforced implant (OSSIOfiber® Hammertoe Fixation Implant, OSSIO Ltd., Caesarea, Israel) was developed for proximal interphalangeal joint (PIPJ) correction-arthrodesis. The main purpose of this clinical study was to assess implant bio-integration at 1-year follow-up. METHODS: Twenty-four patients, previously treated for a Hammertoe deformity using the bio-integrative, fiber-reinforced implant, were enrolled in this follow-up study...
June 2022: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/33181397/smarttoe-toegrip-and-buried-k-wire-versus-percutaneous-k-wire-fixation-for-2nd-pipj-arthrodesis-a-comprehensive-review-of-outcomes
#10
REVIEW
Scott E Hendrick, Ewan Kannegieter
BACKGROUND: Proximal interphalangeal joint arthrodesis is a reliable and repeatable method of surgical correction for the semi-rigid and rigid hammer toe deformity. In recent years the authors have noted a significant increase in the use of novel intramedullary devices in place of the traditional percutaneous Kirschner wires (k-wire). This paper set out to critically review three methods of internal fixation; ToeGrip implant, SmartToe implant and buried k-wire technique in comparison to the traditional method of percutaneous k-wire fixation during arthrodesis of the proximal interphalangeal joints (PIPJ) of the toes...
December 2020: Foot
https://read.qxmd.com/read/31098688/the-efficacy-of-an-intramedullary-nitinol-implant-in-the-correction-of-claw-toe-or-hammertoe-deformities
#11
JOURNAL ARTICLE
Jesús Payo-Ollero, Ahinoa Casajús-Ortega, Rafael Llombart-Blanco, Carlos Villas, Matías Alfonso
INTRODUCTION: A multitude of procedures has been described in the literature for the treatment of lesser toe deformities and there is currently no general consensus on the optimal method of fixation. The aim of this study is to assess the clinical and radiological outcomes of an intramedullary nitinol implant for the correction of lesser toe deformities, and to determine if the distal interphalangeal (DIP) joint and metatarsophalangeal (MTP) joint are modified during patient follow-up after correction of the PIP joint...
December 2019: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/31010766/radiographic-and-clinical-comparison-of-proximal-interphalangeal-joint-arthrodesis-between-a-static-and-dynamic-implant
#12
JOURNAL ARTICLE
Maxime Ferrier, Jean-Camille Mattei, Romain Desmarchelier, Michel Fessy, Jean Luc Besse
Hammertoe deformation is a frequent motive for consultation in forefoot surgery, and proximal interphalangeal joint arthrodesis is a classic treatment for fixed deformation, which tends to be achieved more and more thanks to specific implants. This work evaluated and compared clinical improvement, radiologic fusion, and complication rates between dynamic (Difuse®) and static (TinyFix®) implants from Biotech Ortho. A total of 95 patients (110 feet and 166 toes; 97 static and 69 dynamic implants) were included...
April 19, 2019: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/29478480/percutaneous-kirschner-wire-versus-commercial-implant-for-hammertoe-repair-a-cost-effectiveness-analysis
#13
COMPARATIVE STUDY
Rachel H Albright, Brett J Waverly, Erin Klein, Lowell Weil, Lowell S Weil, Adam E Fleischer
Hammertoe deformities are one of the most common foot deformities, affecting up to one third of the general population. Fusion of the joint can be achieved with various devices, with the current focus on percutaneous Kirschner (K)-wire fixation or commercial intramedullary implant devices. The purpose of the present study was to determine whether surgical intervention with percutaneous K-wire fixation versus commercial intramedullary implant is more cost effective for proximal interphalangeal joint arthrodesis in hammertoe surgery...
March 2018: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/29337598/comparative-study-of-intramedullary-hammertoe-fixation
#14
JOURNAL ARTICLE
Caterina Obrador, Marta Losa-Iglesias, Ricardo Becerro-de-Bengoa-Vallejo, Christina A Kabbash
BACKGROUND: Temporary Kirschner wire fixation (K-wire) is a widely used, low-cost fixation method for the correction of hammertoe deformity. Reported complications associated with K-wires prompted the development of new implants over the past decade. However, there is a lack of literature on comparative studies analyzing functional outcomes using validated questionnaires. The purpose of this study was to analyze functional outcomes in patients who had undergone proximal interphalangeal joint fusion using 2 types of intramedullary implant, the Smart Toe and the TenFuse, and to compare them with the outcomes in patients treated with standard K-wire fixation...
April 2018: Foot & Ankle International
https://read.qxmd.com/read/27871423/the-science-behind-surgical-innovations-of-the-forefoot
#15
REVIEW
Judith F Baumhauer, Michele Marcolongo
One of the areas of foot and ankle surgery that has had particular attention over the last 5 years has been forefoot surgery. Common procedures include correction of the lessor metatarsophalangeal joints and hammertoe deformities, specifically metatarsal shortening osteotomies and proximal interphalangeal joint fusions. The goals of these surgeries are to improve patient function and allow patients to fit into shoes more comfortably in metatarsal shortening and hammertoe.
December 2016: Foot and Ankle Clinics
https://read.qxmd.com/read/27756869/correction-of-hammertoe-deformity-with-novel-intramedullary-pip-fusion-device-versus-k-wire-fixation
#16
COMPARATIVE STUDY
Seth H Richman, Marcelo Bogliolo Piancastelli Siqueira, Kirk A McCullough, Mark J Berkowitz
BACKGROUND: K-wire fixation has been the most common method of fixation for hammertoe deformity. However intramedullary devices are gaining ground in both number of available choices and in procedures performed. This study aimed to compare the outcomes of hammertoe correction performed with K-wire fixation versus a novel intramedullary fusion device (CannuLink). METHODS: A retrospective review of hammertoe correction by a single surgeon was performed from June 2011 to December 2013...
February 2017: Foot & Ankle International
https://read.qxmd.com/read/27180101/dual-component-intramedullary-implant-versus-kirschner-wire-for-proximal-interphalangeal-joint-fusion-a-randomized-controlled-clinical-trial
#17
RANDOMIZED CONTROLLED TRIAL
Richard M Jay, D Scot Malay, Adam S Landsman, Nathan Jennato, James Huish, Melissa Younger
We undertook a multicenter, parallel treatment arm, randomized controlled trial to compare the outcomes after surgery for the treatment of lesser digital hammertoe using either a Kirschner wire or a 2-piece intramedullary, stainless steel implant for fixation of the proximal interphalangeal joint. Our primary aim was to compare the incidence of arthrodesis and complications, and our secondary aim was to compare the subjective foot-related outcomes measured using the Bristol Foot Score and the Foot Function Index, stratified by fixation group...
July 2016: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/27072689/diverging-dual-intramedullary-kirschner-wire-technique-for-arthrodesis-of-the-proximal-interphalangeal-joint-in-hammertoe-correction
#18
JOURNAL ARTICLE
Christopher R Hood, Douglas K Blacklidge, Scott M Hoffman
UNLABELLED: Digital arthrodesis is one of the most common surgical procedures performed by the foot and ankle surgeon. The market offers a variety of devices available to the surgeon to accomplish solid, permanent, and safe fusion for the patient. However, with these new devices come high surgical costs, adding to the burden on the already strapped health care system. We offer a simple technique updating the way in which a Kirschner wire is utilized for interphalangeal digital arthrodesis that employs the benefits of the newer implantable devices at a fraction of the cost...
October 2016: Foot & Ankle Specialist
https://read.qxmd.com/read/26970909/sustainability-of-forefoot-reconstruction-for-the-rheumatoid-foot
#19
JOURNAL ARTICLE
Kathie J Whitt, Sarah A Rincker, Christopher F Hyer
Ninety percent of patients with rheumatoid arthritis will display foot and ankle pathologic features, including hallux valgus, lesser metatarsophalangeal (MTP) joint subluxation/dislocation, and hammertoe deformity. Recently, a trend has ensued toward joint preservation with distal metatarsal osteotomies and various bunion corrective procedures. However, the reference standard remains first MTP joint fusion, lesser metatarsal head resection, and lesser proximal interphalangeal joint fusion. The present retrospective study followed the results of 4 different surgeons who had performed the reference standard rheumatoid forefoot reconstruction from August 2008 to August 2012 on patients with rheumatoid arthritis...
2016: Journal of Foot and Ankle Surgery
https://read.qxmd.com/read/26878808/two-pin-fixation-of-proximal-interphalangeal-joint-fusion-for-hammertoe-correction
#20
JOURNAL ARTICLE
Troy J Boffeli, Jonathan C Thompson, Jessica A Tabatt
Single-pin external Kirschner wire (K-wire) fixation has traditionally been a mainstay in proximal interphalangeal joint fusion for central hammertoe repair. Concerns over cosmesis, inconvenience, pin tract infection, hardware failure, nonunion, and early hardware removal have led to the development of implantable internal fixation devices. Although numerous implantable devices are now available and represent viable options for hammertoe repair, they are costly and often pose a challenge in the event removal becomes necessary...
May 2016: Journal of Foot and Ankle Surgery
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