An alternative fixation technique when performing hallux interphalangeal joint fusions.

Area of Science:

• Orthopedic surgery
• Foot and ankle reconstruction
• Surgical techniques

Background:

• Traditional hallux interphalangeal joint fusion methods include cancellous bone screws and crossed Kirschner wires.
• These methods are effective for standard fusions but may be inadequate for complex cases.

Observation:

• Simultaneous total first metatarsophalangeal joint implant arthroplasty presents challenges for traditional fusion techniques.
• A modified approach is needed to address these complex surgical scenarios.

Findings:

• A new surgical technique for hallux interphalangeal joint fusion utilizing the Micks' external fixator is presented.
• This method offers an alternative for cases requiring concurrent metatarsophalangeal joint arthroplasty.

Implications:

• The Micks' external fixator technique provides a viable option for complex hallux fusions.
• This innovation may improve outcomes in patients needing combined procedures, enhancing surgical versatility.