Diverging Dual Intramedullary Kirschner Wire Technique for Arthrodesis of the Proximal Interphalangeal Joint in Hammertoe Correction

Hood, Christopher R.; Blacklidge, Douglas K.; Hoffman, Scott M.

doi:10.1177/1938640016640896

Cited by 6 publications

(3 citation statements)

References 11 publications

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“…Numerous surgical techniques have been described, and each has its advantages and disadvantages. The most traditional technique is PIP joint arthrodesis, which involves using a K-wire to transfix the fusion site; the K-wire exits the toe distally to allow future removal [2,[10][11][12]. Typically, drilling for the K-wire is performed from the PIP joint, through the middle phalanx, and out of the distal phalanx, followed by retrograde insertion across the PIP joint to the base of the proximal phalanx.…”

Section: Discussionmentioning

confidence: 99%

“…The K-wire is usually maintained for 4 to 6 weeks to stabilize the joint and reduce recurrence [13]. A K-wire is easy to insert, there is minimal need for instruments, and it maintains alignment [10][11][12]. However, pin tract infection is a known potential problem with any pin that exits through the skin, and immobilization delays the use of normal shoes [7,14,15].…”

Section: Discussionmentioning

confidence: 99%

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An effective aesthetic toe-shortening procedure

Jung

Kim

Lee

et al. 2023

Arch Aesthetic Plast Surg

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Background Many people with a longer second toe or lesser toes experience symptoms such as corns, hammertoe, and numerous others, especially when wearing open-toe shoes. Proximal interphalangeal joint arthrodesis using intraosseous loop wiring performed through a hidden side incision is a useful method to shorten the lesser toes aesthetically.Methods Aesthetic toe-shortening procedures were performed in 30 patients. All patients were evaluated by a physical examination and X-rays, and they underwent proximal interphalangeal joint arthrodesis using intraosseous loop wiring through a medial incision. Demographic characteristics, including foot morphology, were analyzed. The number of resected toes and resection amounts of each toe were measured. Patients’ satisfaction was determined through a questionnaire administered at each follow-up.Results In total, 91 toe-shortening procedures were performed in 30 patients who were followed up for an average of 24 months (range, 6–48 months). Sixteen patients had Greek-type feet (53.3%) and 14 had square-type feet (46.7%). Twelve patients had hammer toe deformity (40.0%) and 13 had corns (43.3%). The average length of the resected second and third toes was 9.66±2.79 mm (range, 5–15 mm) and 7.78±2.51 mm (range, 5–12 mm), respectively. The vast majority of patients were satisfied with the final results. No significant complications such as nonunion occurred. Only one case of mild angulation of the second toe was noted.Conclusions Aesthetic toe-shortening using the procedure described here can prevent the development of lessor toe deformities and provide permanent, aesthetically pleasing results with a short recovery time.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An effective aesthetic toe-shortening procedure

Jung

Kim

Lee

et al. 2023

Arch Aesthetic Plast Surg

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“…У 1940 році R. Taylor для фіксації фаланг коригованого пальця під час артродезу проксимального міжфалангового суглоба запропонував використовувати спицю Кіршнер [46]. Досі цей метод трансартикулярної фіксації коригованого пальця стопи є методом вибору більшості травматологів [47,48,49].…”

Section: результатиunclassified

Surgical treatment of hammertoe deformity (a literature review)

Prozorovskyi

2023

ZMJ

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Aim. To trace developmental origins of surgical treatment of hammertoe deformity and determine the most commonly used methods of its correction based on the published literature analysis. Material and methods. Publications from Google search, electronic databases PubMed, Google Scholar, archives of specialized journals and other relevant sources of scientific and medical information were analyzed. Results. The article covers the developmental origins of surgical treatment of hammertoe deformity both in the historical aspect and at the current level. Attention is paid to soft tissue procedures including tendons, metatarsophalangeal joint capsule, and plantar plate. An overview of operative interventions on the bone apparatus, phalanges and metatarsal bones and the combination of these surgeries is also presented in the article. The disadvantages of the existing surgical treatments, their advantages and the ways for forthcoming research concerning the improvement of surgical care in the treatment of hammertoe deformity are identified. Conclusions. The choice of a particular method of surgical correction between the phalangeal or metatarsal level, the feasibility of combining these interventions with restoring the integrity of the plantar plate and tendon reconstruction, remains debatable. Further study on these issues is a crucial task today for choosing the optimal method of hammertoe deformity correction.

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