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Hammer toe surgery

Discussion in 'Foot Surgery' started by NewsBot, Jan 10, 2012.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

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    Hammer toe correction using an absorbable pin.
    Konkel KF, Sover ER, Menger AG, Halberg JM.
    Foot Ankle Int. 2011 Oct;32(10):973-8.
     
  2. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Treatment of Hammertoe Deformity Using a One-Piece Intramedullary Device: A Case Series
    Bryan L. Witt, Christopher F. Hyer
    Journal of Foot and Ankle Surgery in press
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    SmartToe® Implant Compared with Kirschner Wire Fixation for Hammer Digit Corrective Surgery

    SmartToe® Implant Compared with Kirschner Wire Fixation for Hammer Digit Corrective Surgery: A Review of 28 Patients
    Arush K. Angirasa, Michael J. Barrett, Darren Silvester
    Journal of Foot and Ankle Surgery; Article in Press
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Prospective Study of Hammertoe Correction With an Intramedullary Implant
    Fernanda Catena, Jesse F. Doty, James Jastifer, Michael J. Coughlin, Faustin Stevens
    Foot & Ankle International January 17, 2014
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Retrospective Comparative Study of Operative Repair of Hammertoe Deformity
    Wenjay Sung, DPM; Lowell Weil Jr, DPM, MBA; Lowell Scott Weil Sr, DPM
    Foot Ankle Spec April 21, 2014
     
  6. Troy Harris

    Troy Harris Member

    Is anyone experienced with the flexor tendon transfer procedure for flexible hammertoes? Do you use a dorsal approach or dorsal and plantar? Is the procedure very difficult? Higher chance of complications?
     
  7. Jess Olson DPM

    Jess Olson DPM Welcome New Poster

    Yes, I've done hundreds of FDL transfers to the proximal phalanx, negating the deforming force. Everything is done from a dorsal approach. After resection prox phal hd, plantar longitudinal capsulotomy exposing FDL tendon, detach tendon distally, button-hole tendon, slide over prox phal shaft, & suture in place. Excellent results.
     
  8. Troy Harris

    Troy Harris Member

    Thanks for the reply. I actually did the procedure about 7 weeks ago and used a dorsal approach, removed the prox phalanx head, but did struggle to get under (superficial to) the flexor tendon. I finally got a mosquito under it but it took 3 assistants to retract while I pulled the split ends of the flexor up and over the proximal phalanx to suture. I never have though of buttonholing it and then sliding it over the proximal phalanx, sounds like a good way to do it. At 7 weeks out, the toe is swollen and a little bit sore at the end of the day, so I told the patient to walk less. The distal phalanx is deviated laterally, but an acceptable amount.
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Hammertoe Correction With K-Wire Fixation
    William C. Kramer, MD; Michael Parman, BS; Richard M Marks, MD
    Foot & Ankle International February 12, 2015
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Correction of Hammer Toe Deformity of Lateral Toes With Subtraction Osteotomy of the Proximal Phalanx Neck
    Paolo Ceccarini, Alfredo Ceccarini, Giuseppe Rinonapoli, Auro Caraffa
    JFAS; in press
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Percutaneous correction of second toe proximal deformity: Proximal interphalangeal release, flexor digitorum brevis tenotomy and proximal phalanx osteotomy
    S. Frey, M. H?lix-Giordanino, B. Piclet-Legr?
    Orthopaedics & Traumatology: Surgery & Research; 28 August 2015
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Diverging Dual Intramedullary Kirschner Wire Technique for Arthrodesis of the Proximal Interphalangeal Joint in Hammertoe Correction
    Christopher R. Hood et al
    Foot Ankle Spec April 12, 2016
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Dual-Component Intramedullary Implant Versus Kirschner Wire for Proximal Interphalangeal Joint Fusion: A Randomized Controlled Clinical Trial
    Richard M. Jay, DPM, FACFAS, D. Scot Malay, DPM, MSCE, FACFAS, Adam S. Landsman, DPM, PhD, FACFAS, Nathan Jennato, DPM, James Huish, DPM, Melissa Younger, DPM
    JFAS, Article in Press
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A Midterm Review of Lesser Toe Arthrodesis With an Intramedullary Implant.
    Harmer JL et al
    Foot Ankle Spec. 2017 Apr 1:1938640017704943. doi: 10.1177/1938640017704943
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Complication Rates and Short-Term Outcomes After Operative Hammertoe Correction in Older Patients.
    Mueller CM et al
    Foot Ankle Int. 2018 Feb 1:1071
     
  16. scotfoot

    scotfoot Well-Known Member

    The study ,above , states -

    "To date, no studies have looked at outcomes of operative management in the geriatric population, which may be at greater risk for complications or functional compromise because of comorbidities."

    Questions I would like to see asked and answered are (1) what happens to intrinsic muscle function in the geriatric population postoperatively and in particular , if significant muscle atrophy does occur following recuperation from hammer toe surgery , (2) is previous strength ever regained in these muscles ?

    I do not believe that questionnaires can answer these important questions .
     
  17. Craig Payne

    Craig Payne Moderator

    Articles:
    6
    If the hammer toes has progressed to the stage where it needs surgery, then the function of the intrinsic muscles are so screwed up .... they would be massively atrophied anyway due to the not having any affect on the toe due to the hammered position.
     
  18. scotfoot

    scotfoot Well-Known Member

    That might be true of the hammer toe but what about its pals . As the repaired hammer toe is rested following surgery ,the neighboring toes are likely to become atrophied and in a geriatric patient may never recover their former strength .
    However the questions I asked are unnecessarily narrow and might better be written as -

    " Questions I would like to see asked and answered are (1) what happens to intrinsic muscle function in the geriatric population postoperatively and in particular , if significant muscle atrophy does occur following recuperation from any type of surgery which requires a patient to be off their feet for 3 weeks , (2) is previous strength ever regained in these muscles ?
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Percutaneous Kirschner Wire Versus Commercial Implant for Hammertoe Repair: A Cost-Effectiveness Analysis
    Rachel H. Albright et al
    March–April, 2018Volume 57, Issue 2, Pages 332–338
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Radiographic predictors for improved outcomes after hammertoe correction surgery
    Samuel Maidman, BA, Jason Bariteau, MD, Stephanie Boden, BA, Allison Boden, BA, Shay Tenenbaum, MD
    AOFAS Annual Meeting 2018 1
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical Comparison Between Shortening Osteotomy of the Proximal Phalanx Neck and Arthrodesis in Hammer Toe Surgery at Mid-TermFollow-Up
    Paolo Ceccarini, MD Paolo CeccariniEmail the author MD Paolo Ceccarini, Giuseppe Rinonapoli, MD, Enrico Sebastiani, MD, Michele Bisaccia, MD, Alfredo Ceccarini, MD, Auro Caraffa, MD
    JFAS; Article in Press
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The impact of associated tenotomies on the outcome of incomplete phalangeal osteotomies for lesser toe deformities.
    Nieto-García E et al
    JOrthop Surg Res. 2019 Sep 11;14(1):308
    BACKGROUND:
     
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