• 1

    McGlamry ED: “Lesser Ray Deformities,” in Comprehensive Textbook of Foot Surgery, p 78, Williams & Wilkins, Baltimore, 1987..

  • 2

    Schlefman BS, Fenton CF, McGlamry ED: Peg in hole arthrodesis. .JAPA 73::187. ,1983. .

  • 3

    Soule RE: Operation for the cure of hammertoes. .NY Med J 91::649. ,1910. .

  • 4

    Pichney GA, Derner R, Lauf E: Digital ‘V’ arthrodesis. .J Foot Ankle Surg 32::473. ,1993. .

  • 5

    Winter DA: “Kinetics,” in The Biomechanics and Motor Control of Human Gait: Normal, Elderly and Pathological, p 35, Waterloo Biomechanics, Waterloo, Ontario, Canada, 1991..

  • 6

    Sammarco JG: “Biomechanics of the Foot,” in Basic Biomechanics of the Musculoskeletal System, 2nd Ed, ed by M Nordin, V Frankel, p 163, Lea & Febiger, Philadelphia, 1989..

  • 7

    Harmonson JK, Harkless LB: Operative procedures for the correction of hammertoe, claw toe, and mallet toe. .Clin Podiatr Med Surg 13::211. ,1996. .

  • 8

    Kimmel HM, Garrow S: A comparison of end-to-end versus ‘V’ arthrodesis procedures for the correction of digital deformities. .Clin Podiatr Med Surg 13::239. ,1996. .

    • PubMed
    • Search Google Scholar
    • Export Citation

Peg-in-Hole, End-to-End, and V Arthrodesis

A Comparison of Digital Stabilization in Fresh Cadaveric Specimens

View More View Less
  • 1 Submitted during third year, Temple University School of Podiatric Medicine, Philadelphia, PA.
  • | 2 Associate Professor, Department of Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA.
  • | 3 Director, Gait Study Center, and Associate Professor, Department of Orthopedics and Medicine, Temple University School of Podiatric Medicine, Philadelphia, PA; Visiting Assistant Research Professor, Biomedical Engineering and Science Institute, Drexel University, Philadelphia, PA. Mailing address: Temple University School of Podiatric Medicine, Eighth at Race St, Philadelphia, PA 19107.
Restricted access

The proximal interphalangeal joint arthrodesis is frequently performed to correct hammer toe deformities. This study was conducted to compare the inherent stability of the three proximal interphalangeal joint arthrodeses—peg-in-hole, end-to-end, and V constructs—in the sagittal plane by means of load-to-failure testing of 30 fresh-frozen cadaveric specimens fixated with a 0.045 Kirschner wire. The peg-in-hole construct was associated with significantly higher peak loads at failure compared with the other two procedures. Furthermore, the peg-in-hole construct had significantly higher stiffness values as compared with the V procedure. This study thus provides evidence that the peg-in-hole procedure is the most biomechanically stable surgical construct for proximal interphalangeal joint fusions under sagittal plane loading. (J Am Podiatr Med Assoc 91(2): 63-67, 2001)