Ideal implant choice for proximal interphalangeal joint arthrodesis in hammer toe/claw toe deformity correction: A systematic review
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AbstractIntramedullary devices have been developed to reduce the problems associated with Kirschner (K)-wire fixation in proximal interphalangeal joint (PIPJ) arthrodesis. The purpose of this systematic review is to compare the surgical outcomes of K-wires versus novel internal fixation devices in PIPJ arthrodesis in claw/hammer toe surgery. The databases searched were PubMed, Scopus, Cochrane, and Embase with keywords "claw toe OR hammer toe" AND "proximal interphalangeal OR PIP" AND "fusion OR arthrodesis." Clinical trials published in English with evidence levels I, II, and III were included. Five studies, including one randomized controlled trial and four case-controlled studies, were identified to meet the inclusion criteria. Overall, the studies showed promising results in union rates using the novel internal devices compared to K-wires. However, the novel internal devices seem not to present advantages in clinical parameters such as pain levels, patient satisfaction, foot-related function, or surgical complication rates.
All Author(s) ListWei RXY, Ling SKK, Lui TH, Yung PSH
Journal nameJournal of Orthopaedic Surgery
Year2020
Month1
Volume Number28
Issue Number1
PublisherSAGE PUBLICATIONS LTD
Article number2309499020911168
ISSN1022-5536
eISSN2309-4990
LanguagesEnglish-United Kingdom
Keywordsarthrodesis, claw toe, forefoot, fusion, hammer toe, proximal interphalangeal joint
Web of Science Subject CategoriesOrthopedics;Surgery;Orthopedics;Surgery

Last updated on 2020-14-09 at 00:09