Prospective review of medium term outcomes following interpositional arthroplasty for hammer toe deformity correction

Atinga, Mordicai; Dodd, L. E.; Foote, Julian; Palmer, Sylvain

doi:10.1016/j.fas.2010.08.008

Cited by 11 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A number of different operative interventions have been suggested and tried in the management of painful hammertoe deformities, both simple and complex; however, no single approach has been accepted as the gold standard. 1,3,10 The best operative plan often takes into account multiple variables, including age, activity level, patient expectations, and precise etiology of the hammertoe deformity. 9 In our study, all hammertoes were treated with PIP arthroplasty, extensor lengthening, and flexor tenotomy with possible transfer.…”

Section: Discussionmentioning

confidence: 99%

“…10 Nonoperative treatment for pain associated with a hammertoe deformity includes improving footwear, using pads over calluses to prevent abrasions, and daily stretching of the joints. 1 Operative correction is indicated when conservative intervention fails. A number of different operative interventions have been used for the management of painful hammertoe deformities, including flexor-to-extensor transfer, interphalangeal joint arthroplasty, arthrodesis, and plantar plate repair.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Complication Rates and Short-Term Outcomes After Operative Hammertoe Correction in Older Patients

Mueller

Boden

et al. 2018

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Complication Rates and Short-Term Outcomes After Operative Hammertoe Correction in Older Patients

Mueller

Boden

et al. 2018

Foot Ankle Int.

View full text Add to dashboard Cite

show abstract

“…Also, no complication i.e. infection or chronic pain had been seen with early recurrences which shows good and excellent results with this forefoot surgical tactic by allowing early mobilization, pain relief, and low risk of infections[29]. Also, important and major research work had been conducted on elective forefoot surgery and its complications based perspective.Like Cancienne Jourdan and related ones majorly considered the hemoglobinA 1c factor as a predictor of postoperative infection in the elective forefoot surgery.…”

mentioning

confidence: 89%

Treatment Options for Pin Site Infection during Kirschner Wires in Elective Forefoot Surgery

Hussein¹,

Wang²,

Yu³

2021

OJO

View full text Add to dashboard Cite

The Kirschner wires (K-wires) are stiff and straight wires made of smooth stainless steel. These are used in surgery to aid in repairing the process of a fractured bone. In forefoot elective surgeries, these pins are mostly used for fixation of the phalangeal or metatarsal area. These wires are usually either buried or exposed, The exposed wires do not require another operation to remove them and are generally preferred. In using the forefoot surgery history of a single surgeon which was taken for 3 years. The purpose of this study is to evaluate the occurrence of infections following elective surgeries of the forefoot that were fixed using k-pins and to indicate an effective treatment option for resolving the infection. The inclusion criteria set for this study was to remove any patient having any disease except for diabetes. Moreover, the age limit was set to be 18-44, making a final sample of 50 people, prescribed prophylactic antibiotics or early removal of k-pins, where necessary. The researcher recorded demographic and biological data from the patients such as age, BMI, and smoking status were recorded. The researcher conducted a Univariate analysis via a Chi-square test. 50 Patients (82 K-wires) were analyzed. Results showed that surgery type, BMI, and smoking were three variables that affect the infection growth significantly while diabetes and type of cleaning disinfectant had marginal effects. Further study is required to clarify the best treatments in this area, as the treatment option antibiotics have nearly similar results.

show abstract

“…Interpositional arthroplasties using tendon or spherical ceramic implants have been described for treating metatarsophalangeal joint arthritis; however, we have not employed these modalities in treating advanced Freiberg’s infraction. 22,23…”

Section: Authors’ Preferred Treatmentmentioning

confidence: 99%

Freiberg’s Infraction

Talusan

Diaz-Collado

Reach

2013

Foot & Ankle Specialist

View full text Add to dashboard Cite

Freiberg's infraction is a condition of cartilage degeneration of the lesser metatarsal heads. Adolescent females are the "textbook" patients but both males and females may present with this condition later in life. The second and third metatarsals are the most commonly affected, while involvement of the fourth and fifth is rare. The incidence is higher in females than in males. The pathophysiology is unknown, but studies suggest a combination of vascular compromise, genetic predisposition, and altered biomechanics. Diagnosis is made clinically and imaging is used to confirm. Early in the process, radiographs are normal however bone scans may demonstrate a photopenic center with a hyperactive collar and magnetic resonance imaging can reveal hypointensity of the metatarsal head. As Freiberg's infraction progresses, radiographs show a flattened and fragmented metatarsal head. Nonoperative treatment is based on decreasing foot pressure and unloading the affected metatarsal. Spontaneous healing with remodeling may occur in early stages of the disease. Operative options are dorsal closing wedge osteotomies, osteochondral transplant, and resection arthroplasty. Currently, we do not understand this disease sufficiently to prevent its occurrence. Outcomes of nonoperative and operative management are good to excellent and most patients are able to return to previous activity.

show abstract

Prospective review of medium term outcomes following interpositional arthroplasty for hammer toe deformity correction

Cited by 11 publications

References 15 publications

Complication Rates and Short-Term Outcomes After Operative Hammertoe Correction in Older Patients

Complication Rates and Short-Term Outcomes After Operative Hammertoe Correction in Older Patients

Treatment Options for Pin Site Infection during Kirschner Wires in Elective Forefoot Surgery

Freiberg’s Infraction

Contact Info

Product

Resources

About