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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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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
PubMed
Summary
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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.

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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.