The effectiveness of novel internal fixation device versus Kirschner wire for proximal interphalangeal joint fusion in hammer toe: a systematic review
Refereed conference paper presented and published in conference proceedings


摘要Intramedullary 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 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. The studies which were not published in English or looking at the surgical outcomes in children or adolescents were excluded. The methodology equality of included studies was assessed by checklists from the Critical Appraisal Skills Programme (CASP). Five studies, including one randomised controlled trial and four case-controlled studies, were identified to meet the inclusion criteria. Overall, the results showed that the novel internal devices may outperform K-wires in union rate for PIPJ arthrodesis in hammer toe deformity correction. However, these internal devices seem not to present advantages in clinical parameters such as pain levels, patient satisfaction, foot-related function, or surgical complication rates. It should be taken into consideration whether the theoretical advantages of the novel interval devices are able to compensate for their high price compared to K-wires.
著者Rachel Xiaoyu Wei, Samuel Ka-Kin Ling, Tun Hing Lui, Patrick Shu-Hang Yung
會議名稱The Hong Kong Orthopaedic Association the 40th Annual Congress 2020
會議地點Hong Kong
會議論文集題名The Hong Kong Orthopaedic Association the 40th Annual Congress 2020
出版社Hong Kong Academy of Medicine Press
出版地Hong Kong
頁次123 - 123

上次更新時間 2021-29-11 於 12:26