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Digital arthrodesis: current fixation techniques
Jared L Moon1, Carl A Kihm, Daniel A Perez
1DeKalb Medical Center, 2701 North Decatur Road, Decatur, GA 30033, USA. Jared.L.Moon@gmail.com
Clinics in Podiatric Medicine and Surgery
|September 28, 2011
Summary
New hammertoe implants offer fixation options, but long-term data is limited. Traditional Kirschner-wire fixation remains an effective and cost-conscious choice for proximal interphalangeal joint arthrodesis.
Area of Science:
- Orthopedic surgery
- Podiatric surgery
- Surgical implants
Background:
- Proximal interphalangeal joint arthrodesis is a common procedure for hammertoe correction.
- Several novel implant devices have emerged for joint fixation.
- Limited long-term follow-up data exists for these newer implants.
Purpose of the Study:
- To review current hammertoe implant devices.
- To discuss the advantages and disadvantages of these implants.
- To compare implant fixation with traditional methods.
Main Methods:
- Literature review of hammertoe implant devices.
- Analysis of reported advantages and disadvantages.
- Comparison with Kirschner-wire fixation techniques.
Main Results:
- New implants provide fixation for proximal interphalangeal joint arthrodesis.
- Long-term outcome data for new implants is scarce.
- Percutaneous Kirschner-wire fixation is a proven, effective method.
- Buried Kirschner-wire technique offers a cost-effective alternative.
Conclusions:
- Hammertoe implants are a recent development in joint fixation.
- Further research with long-term follow-up is needed for newer devices.
- Established Kirschner-wire techniques remain reliable and economical options.
