Abstract
For many years, end-to-end arthrodesis of a proximal interphalangeal joint arthrodesis
to correct hammer digit deformity has been fixated with a Kirschner wire (K-wire).
For this particular hammer digit deformity correction, we attempted to determine the
effectiveness of the SmartToe® intramedullary shape memory implant compared with the K-wire. In a retrospective
analysis of 28 cases, we evaluated several important parameters at baseline, postoperative
days 7, 14, 21, 28, and 56, and 6 months for pain, complications, arthrodesis achieved,
and return-to-work status. The SmartToe® outperformed the K-wire in all categories, with no evidence of significant complications,
compared with multiple complications for patients in the K-wire arm of the study.
This study demonstrates that the SmartToe® is a reasonable choice for fixation of proximal interphalangeal joint arthrodesis
in hammer digit correction.
Level of Clinical Evidence
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of Foot and Ankle SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Lesser ray deformities: deformities of the intermediate digits and metatarsophalangeal joint.in: Banks A.S. Downey M.S. Martin D.E. Miller S.J. McGlamry E.D. McGlamry's Comprehensive Textbook of Foot and Ankle Surgery. Lippincott Williams & Wilkins, Philadelphia2001
- Realignment of lesser toe deformities.in: Kitaoka H.B. Master Techniques in Orthopaedic Surgery: The Foot and Ankle. Lippincott Williams & Wilkins, Philadelphia2002: 150-155
- Opinions on lesser toe deformities among Dutch orthopaedic departments.Foot Ankle Int. 2007; 28: 1265-1270
- Hammer toe correction by arthrodesis of the proximal interphalangeal joint using cortical bone allograft pin.J Am Med Podiatr Assoc. 2002; 92: 563-569
- Hammer toe correction using an absorbable intramedullary pin.Foot Ankle Int. 2007; 28: 916-920
- Arthrodesis of the toe joints with an intramedullary cannulated screw for correction of hammertoe deformity.Foot Ankle Int. 2004; 25: 256-261
Article info
Publication history
Published online: August 10, 2012
Footnotes
Financial Disclosure: This study was funded with a research grant by MMI-USA, now part of Stryker Foot and Ankle.
Conflict of Interest: None reported.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
