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Related Experiment Video

Updated: Mar 11, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Hammertoe Correction With K-Wire Fixation Compared With Percutaneous Correction.

Mustafa Yassin1,2, Avraham Garti1,2, Eyal Heller1,2

  • 1Department of Orthopaedic Surgery, Sackler School of Medicine, Tel Aviv University, Petah Tikwa, Israel (MY, AG, EH).

Foot & Ankle Specialist
|December 3, 2016
PubMed
Summary

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Percutaneous surgery for hammertoe deformity offers similar outcomes to Kirschner wire (K-wire) fixation but with significantly fewer infections. This comparison aids in selecting the optimal hammertoe correction technique.

Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction
  • Minimally invasive surgical techniques

Background:

  • Kirschner wire (K-wire) fixation is the established standard for hammertoe deformity correction.
  • This study evaluates a percutaneous surgical approach using 3M Coban dressings as an alternative fixation method.

Purpose of the Study:

  • To compare the efficacy and complication rates of K-wire fixation versus percutaneous surgery for hammertoe correction.
  • To analyze patient outcomes including pain, recurrence, and infection rates between the two surgical techniques.

Main Methods:

  • Retrospective review of 352 patients (675 hammertoes) comparing K-wire fixation (open resection arthroplasty) with percutaneous diaphyseal osteotomy and tendon release.
  • Data collected included follow-up duration, preoperative diagnosis, pin duration, VAS pain scores, recurrence, and complications.
Keywords:
Coban dressingclaw toehammertoelesser toe deformitypercutaneous osteotomy

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  • The study design was Level III: Prospective case series with noncontemporaneous cohorts.

    • Main Results:

    • The percutaneous group showed a significantly lower infection rate (2.2%) compared to the open K-wire group (5.3%).
    • Both groups demonstrated decreased VAS pain scores, with a more pronounced reduction in the percutaneous group.
    • Complication rates for abnormal healing, alignment, and recurrence were similar between the techniques.

    Conclusions:

    • Percutaneous hammertoe surgery and K-wire fixation yield comparable results in terms of healing, alignment, and patient satisfaction.
    • The percutaneous technique presents a significant advantage due to a lower incidence of post-operative infections.