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Foot Ankle Clin. 2018 Mar;23(1):91-101. doi: 10.1016/j.fcl.2017.09.007.

Treatment of Rigid Hammer-Toe Deformity: Permanent Versus Removable Implant Selection.

Author information

1
Department of Orthopedic Surgery, Erlanger Health System, The University of Tennessee College of Medicine, 975 East Third Street, Hospital Box 260, Chattanooga, TN 37403, USA. Electronic address: jessd90@hotmail.com.
2
Department of Orthopedic Surgery, Erlanger Health System, The University of Tennessee College of Medicine, 975 East Third Street, Hospital Box 260, Chattanooga, TN 37403, USA.

Abstract

Hammer-toe deformities that fail nonoperative treatment can be successfully addressed with proximal interphalangeal joint resection arthroplasty or fusion. The goal of surgery is to eliminate the deformity and rigidly fix the toe in a well-aligned position. Hammer-toe correction procedures can be performed with temporary Kirschner wire (K-wire) fixation for 3 to 6 weeks with high success rates. Pain relief with successful hammer-toe correction approaches 90%; patient satisfaction rates approximate 84%. Although complication rates are rare in most series, there remains a concern regarding exposed temporary K-wire fixation, which has led to the development of multiple permanent internal fixation options.

KEYWORDS:

Fusion; Hammer toe; Implant; Interphalangeal; Rigid

PMID:
29362037
DOI:
10.1016/j.fcl.2017.09.007
[Indexed for MEDLINE]

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