Dual-Component Intramedullary Implant Versus Kirschner Wire for Proximal Interphalangeal Joint Fusion: A Randomized Controlled Clinical Trial

Jay, Richard; Malay, D. Scot; Landsman, Adam; Jennato, Nathan; Huish, James; Younger, Melissa

doi:10.1053/j.jfas.2016.03.017

Cited by 26 publications

(39 citation statements)

References 29 publications

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“…Obrador et al 16 found no statistically significant differences in FFI and Short Form 36 (SF-36) between the groups at 12-month follow-up. Jay et al 22 also reported similar results in FFI and Bristol Foot Score (BFS) at 6-month follow-up.…”

Section: Foot Functionmentioning

confidence: 56%

“…Four of the five publications included in this review are retrospective comparative studies, implying that they are vulnerable to bias, for example, covariates and potential confounders. 24 Only one study 22 was a high-level multicenter, randomized controlled trial.…”

Section: Discussionmentioning

confidence: 99%

“…They speculated that the absence of a pin protruding from the distal phalanx and better bone-to-bone union resulted in higher BFS and FFI scores in intramedullary fixation. 22 It is hard to draw a conclusion on the complication rates due to the lack of a clear consistent definition of the adverse events. The reported complications in the five studies included infection, 16,21,23 broken implants, 16,20,21 severe pain, 21 non-union or malunion, 21 recurrent deformity, 16,23 and symptomatic event (e.g.…”

Section: Discussionmentioning

confidence: 99%

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Ideal implant choice for proximal interphalangeal joint arthrodesis in hammer toe/claw toe deformity correction: A systematic review

Wei

Ling

Lui³

et al. 2020

J Orthop Surg (Hong Kong)

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Intramedullary devices have been developed to reduce the problems associated with Kirschner (K)-wire fixation in proximal interphalangeal joint (PIPJ) arthrodesis. The purpose of this systematic review is to compare the surgical outcomes of K-wires versus novel internal fixation devices in PIPJ arthrodesis in claw/hammer toe surgery. The databases searched were PubMed, Scopus, Cochrane, and Embase with keywords “claw toe OR hammer toe” AND “proximal interphalangeal OR PIP” AND “fusion OR arthrodesis.” Clinical trials published in English with evidence levels I, II, and III were included. Five studies, including one randomized controlled trial and four case-controlled studies, were identified to meet the inclusion criteria. Overall, the studies showed promising results in union rates using the novel internal devices compared to K-wires. However, the novel internal devices seem not to present advantages in clinical parameters such as pain levels, patient satisfaction, foot-related function, or surgical complication rates.

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Section: Foot Functionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ideal implant choice for proximal interphalangeal joint arthrodesis in hammer toe/claw toe deformity correction: A systematic review

Wei

Ling

Lui³

et al. 2020

J Orthop Surg (Hong Kong)

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“…In the literature, lesser toe deformity prevalences are present up to 20%, women are more affected and the incidence seems to increase with age. 24 , 25 , 26 Dunn et al reported, an account of 34.5% of all ankle–foot disorders, especially in elderly. In diabetic clinics, hammer toe prevalence is about 32%.…”

Section: Discussionmentioning

confidence: 99%

“…The bunionette is characterized by a prominence on the lateral edge of forefoot. 26 , 27 , 28 Kelikian shows an analogous relation between the bunion and bunionette but controversy does exist. 2 , 29 , 30 Three hundred sixty six (13.8%) of the material group reported bunionette, most of them being women (79.5%), men with a ratio of only 20.5% and this was statistically significant (p < 0.001).…”

Section: Discussionmentioning

confidence: 99%

Prevalence estimation and familial tendency of common forefoot deformities in Turkey: A survey of 2662 adults

Şaylı

Altunok

Güven

et al. 2018

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThis survey was designed to evaluate the prevalence estimations of HV, bunionette, hammertoe as well as their relations to shoe wearing and also familial tendency, in Turkey.Material and MethodsTwo thousand six hundred sixty two volunteers (1615 females and 1047 males) with a mean age of 34.15 ± 14.23 (range; 18 to 96) years were asked to answer the predetermined questionnaire between January and June, 2016. Hallux valgus, hammertoe and bunionette images were provided as references and every adult participant without any known forefoot problems or past forefoot surgery history was asked to rate his/her foot and to respond the questions about family history and shoe wearing habits. Responses were statistically analyzed.ResultsThe prevalence estimations of hallux valgus, bunionette and hammertoe were calculated as 54.3%, 13.8% and 8.9% and positive family history rates were 53.2%, 61.2% and 56.1%, respectively. All three deformities were more common in females than in males (p < 0.001). Nonetheless the older age group reported significantly higher prevalence rates for only HV (p < 0.001). Likewise, among the three deformities, females reported a higher rate of positive family history only in HV compared to men (p < 0.001). Constricting shoe wear was found to affect HV incidence in women (p < 0.001) and bunionette incidence in both sexes (p < 0.01).ConclusionThis study concludes that forefoot deformities are common with high familial tendency. Hence it is worthwhile to work on molecular genetics and this may enable the anticipation of forthcoming deformities in order to take early action in prevention, in nearly the half of the population.

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Optimized Design and Development of a Bioresorbable High Rotational Stability Fixation System for Small Bone Fragments

et al. 2020

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Bioresorbable pins are experiencing a growing interest and a likewise increasing use in orthopedic surgery for bone fixation. Indeed, such devices are naturally degraded by the human body and a subsequent surgery for their removal is not needed. However, bioresorption has a remarkable side effect on the performance of the devices, since mechanical properties decay over time. This aspect is essential for bone healing. In the first 60 days, the pin must bear continuous mechanical stress while preventing torsional slip of bone fragments. Although torsional support can be improved with suitable pin section design, degradation kinetics and the consequent loss in mechanical stability are slowed down while using high molecular weight polymers, whose slow bioresorption increases recovery time and negatively affects patient care. Herein, a bioresorbable pin of new conception, in terms of cross‐sectional shape and material formulation, is presented. Both section and polymer design are optimized through comprehensive mathematical modeling, which synergistically combines degradation and mechanical loads. As a result of the model, bioresorption time is minimized, whereas adequate mechanical resistance is ensured for the first 60 days. The most promising device is then injection molded, sterilized, mechanically tested, and successfully evaluated ex vivo in human femoral heads.

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Dual-Component Intramedullary Implant Versus Kirschner Wire for Proximal Interphalangeal Joint Fusion: A Randomized Controlled Clinical Trial

Cited by 26 publications

References 29 publications

Ideal implant choice for proximal interphalangeal joint arthrodesis in hammer toe/claw toe deformity correction: A systematic review

Ideal implant choice for proximal interphalangeal joint arthrodesis in hammer toe/claw toe deformity correction: A systematic review

Prevalence estimation and familial tendency of common forefoot deformities in Turkey: A survey of 2662 adults

Optimized Design and Development of a Bioresorbable High Rotational Stability Fixation System for Small Bone Fragments

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