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Related Experiment Videos

Hammer toe correction using an absorbable intramedullary pin.

Kurt F Konkel1, Andrea G Menger, Sharon Ann Retzlaff

  • 1Advanced Healthcare Inc, Orthopaedics, Menomonee Falls, WI 53051, USA. kkonke@ah.com

Foot & Ankle International
|August 19, 2007
PubMed
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This study presents a simple, safe surgical technique for correcting painful hammertoe deformities using an absorbable pin. The procedure offers high patient satisfaction with minimal complications, avoiding hardware issues.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Surgery
  • Podiatric Medicine

Background:

  • Fixed flexion deformity of the proximal interphalangeal joint (PIPJ) is a common foot issue.
  • Existing surgical options have drawbacks, including complications like hardware failure and the need for removal.
  • A novel technique using a 2-mm absorbable pin for PIPJ arthrodesis in hammertoe deformity is introduced.

Purpose of the Study:

  • To describe and evaluate a minimally invasive surgical approach for hammertoe correction.
  • To assess the safety, efficacy, and patient satisfaction of PIPJ arthrodesis with an absorbable pin.
  • To identify suitable candidates for this specific surgical intervention.

Main Methods:

  • A retrospective review of 48 toe arthrodeses performed on 35 patients.

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  • Follow-up duration ranged from 16 to 58 months (average 38.5 months).
  • Evaluation of surgical outcomes, complications, and patient satisfaction.

    • Main Results:

    • The procedure demonstrated simplicity and safety in correcting painful, rigid hammertoe deformities.
    • High levels of patient satisfaction were reported.
    • Complications were minimal, and no hardware management or removal was necessary post-operatively.

    Conclusions:

    • This absorbable pin arthrodesis is suitable for hammertoe deformities with a stable metatarsophalangeal joint, intact skin, and a proximal phalanx intramedullary canal of 2.0 mm or less.
    • The technique is also beneficial for stabilizing hammertoe correction in patients with severe metal allergies.
    • It offers a viable alternative to traditional fixation methods, reducing hardware-related complications.