Correction of Hammer Toe Deformity with Novel Intramedullary PIP Fusion Device versus K-Wire fixation:

摘要

Category:Lesser ToesIntroduction/Purpose:K-wire fixation is the most common operative procedure for hammertoe deformity today. However, intramedullary implants are gaining ground in both number of available choices and in procedures performed. This study aimed to compare the outcomes of hammertoe correction performed with K-wire fixation versus a novel intramedullary fusion device.Methods:A retrospective review of hammertoe correction by a single surgeon was performed from June 2011 to December 2013. Sixty patients (95 toes) underwent K-wire fixation and 39 patients (54 toes) underwent fusion with the intramedullary implant. Average age was 61.7 years and 61.4 years, respectively. Average length of follow up was 12.9 and 12.3 months, respectively. Patients were evaluated for medical comorbidities, smoking status, inflammatory arthritis, peripheral vascular disease, peripheral neuropathy, pre and postoperative visual analogue pain scale, bony union percentage, revision rate, complications (hardware and sur...