Treatment of symptomatic hammertoe with a proximal interphalangeal joint arthrodesis.

Abstract:

:This study examined 76 consecutive patients (100 feet) treated by a single surgeon for both flexible and rigid hammertoes with a PIP arthrodesis using custom-machined drills, a peg cutter, and hole cutter, combined with an extensor tenotomy and dorsal capsulotomy. Forty-eight percent of patients were defined as satisfied without reservation, 37% were defined as satisfied with reservations, and 15% were defined as dissatisfied. The incidence of radiographic fusion was 95% (130/137 toes). The most common reasons for either reservation or dissatisfaction included incomplete pain relief, residual toe angulation, and prolonged shoe wear restriction in the postoperative period. Based upon the results of this study, the authors suggest that when using a peg and socket arthrodesis for hammertoe correction (1) there is a 95% rate of radiographic fusion, (2) patients over 65 years old be alerted to a diminished rate of satisfaction, and (3) a distal flexor tenotomy be considered in patients with a preoperative DIP flexion contracture.

journal_name

Foot Ankle Int

authors

Lehman DE,Smith RW

doi

10.1177/107110079501600904

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

535-41

issue

9

eissn

1071-1007

issn

1944-7876

journal_volume

16

pub_type

临床试验,杂志文章
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