Document Detail


Retrospective Comparative Study of Operative Repair of Hammertoe Deformity.
MedLine Citation:
PMID:  24756117     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background. The purpose of this study was to compare the outcomes of patients with second hammertoe deformities who underwent correction using either joint resection arthroplasty, proximal interphalangeal joint (PIP) arthrodesis without osteotomy, or interpositional implant arthroplasty. Methods. Medical records from patients who underwent second PIP correction from July 1999 to December 2008 were retrospectively reviewed. A total of 114 patients (136 second toes) were the basis for this retrospective comparative study. The average final follow-up with weight-bearing radiographs of the 136 procedures at the second toe was 53.8 months. Results. All 3 groups had significantly reduced VAS scores postoperatively (P < .01). Also, all groups had significant radiographic correction in the average measured lateral angle of the second PIP joint (P < .01). However, the interpositional implant group had significantly corrected the second PIP joint in the axial plane, with an average postoperative anterior-posterior (AP) angle of 2.9° (P < .01). The postoperative AP angle was also significantly different compared with the postoperative AP angles of the other 2 groups (P < .01). Discussion. Our study confirms that all 3 techniques provide adequate pain relief and radiographic sagittal plane correction. However, interpositional implant arthroplasty provides significant radiographic correction in the axial plane.Levels of Evidence: Therapeutic Level III, Retrospective comparative study.
Authors:
Wenjay Sung; Lowell Weil; Lowell Scott Weil
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-4-21
Journal Detail:
Title:  Foot & ankle specialist     Volume:  -     ISSN:  1938-7636     ISO Abbreviation:  Foot Ankle Spec     Publication Date:  2014 Apr 
Date Detail:
Created Date:  2014-4-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101473598     Medline TA:  Foot Ankle Spec     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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