Treatment of symptomatic hammertoe with a proximal interphalangeal joint arthrodesis
| Autor: | Daniel E. Lehman, Ronald W. Smith |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
musculoskeletal diseases
Adult Male Metatarsophalangeal Joint medicine.medical_specialty Arthrodesis medicine.medical_treatment 0206 medical engineering Hammertoes 02 engineering and technology Toe Joint Tendons 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Aged Retrospective Studies Aged 80 and over Chi-Square Distribution business.industry Foot Deformities Acquired 030229 sport sciences Middle Aged Prognosis 020601 biomedical engineering Hammer Toe Syndrome Single surgeon Surgery body regions Radiography Patient Satisfaction Female business Interphalangeal Joint |
| Zdroj: | Footankle international. 16(9) |
| ISSN: | 1071-1007 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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