Christophe Averous1, Frederic Leider1, Hubert Rocher1, Patrice Determe1, Stephane Guillo1, Christophe Cermolacce1, Patrice Diebold2. 1. Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold). 2. Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold) Patrice.diebold@wanadoo.fr.
Abstract
BACKGROUND: Interphalangeal arthrodesis is a very common surgical treatment of rigid hammertoe and claw toe deformities. The K-wires habitually used in this procedure are sometimes complicated by pin tract infection, migration, discomfort, and breakage. The aim of this study is to evaluate the results of an interphalangeal arthrodesis with a new radiolucent angulated intramedullary implant. METHODS: A total of 377 implants were placed in 297 patients between October 1, 2011, and October 1, 2012. In this study, 157 patients had more than 1 year follow-up and 142 patients were reviewed. The operation technique is explained in detail. RESULTS: This intramedullary device offers a good immediate mechanical stability, adequate deformity correction, and a high rate of consolidation (83%). The satisfaction rate of patients in this series was 94%. CONCLUSIONS: This study demonstrates good results with a new generation of radiolucent implants. LEVEL OF EVIDENCE: Therapeutic, Level IV: Case series.
BACKGROUND:Interphalangeal arthrodesis is a very common surgical treatment of rigid hammertoe and claw toe deformities. The K-wires habitually used in this procedure are sometimes complicated by pin tract infection, migration, discomfort, and breakage. The aim of this study is to evaluate the results of an interphalangeal arthrodesis with a new radiolucent angulated intramedullary implant. METHODS: A total of 377 implants were placed in 297 patients between October 1, 2011, and October 1, 2012. In this study, 157 patients had more than 1 year follow-up and 142 patients were reviewed. The operation technique is explained in detail. RESULTS: This intramedullary device offers a good immediate mechanical stability, adequate deformity correction, and a high rate of consolidation (83%). The satisfaction rate of patients in this series was 94%. CONCLUSIONS: This study demonstrates good results with a new generation of radiolucent implants. LEVEL OF EVIDENCE: Therapeutic, Level IV: Case series.