Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
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Online Publication Date:
Feb 2001

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

A Comparison of Digital Stabilization in Fresh Cadaveric Specimens

Bradley M. Lamm Submitted during third year, Temple University School of Podiatric Medicine, Philadelphia, PA.

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Carla E. Ribeiro Submitted during third year, Temple University School of Podiatric Medicine, Philadelphia, PA.

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Tracey C. Vlahovic Submitted during third year, Temple University School of Podiatric Medicine, Philadelphia, PA.

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Gary R. Bauer Associate Professor, Department of Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA.

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Howard J. Hillstrom 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.

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DOI:
https://doi.org/10.7547/87507315-91-2-63
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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)

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