Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
  • 1

    Soule RE: Operation for the cure of hammertoe. .N Y Med J 91::649. ,1910. .

  • 2

    Taylor RG, Sheffield FRCS: An operative procedure for the treatment of hammer-toe and claw-toe. .J Bone Joint Surg 22::608. ,1940. .

  • 3

    Selig S: Hammer-toe: a new procedure for its correction. .Surg Gynecol Obstet 72::101. ,1941. .

  • 4

    Higgs SL: Hammer-toe. .Medical Press 131::473. ,1931. .

  • 5

    Young CS: An operation for the correction of hammer-toe and claw-toe. .J Bone Joint Surg Am 20::715. ,1938. .

  • 6

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

  • 7

    Reese HW: Reese arthrodesis screw: osteosynthesis of the interphalangeal joints. .JAPMA 77::490. ,1987. .

  • 8

    Alvine FG, Garvin KL: Peg and dowel fusion of the proximal interphalangeal joint. .Foot Ankle 1::90. ,1980. .

  • 9

    Patton GW, Shaffer MW, Kostakos DP: Absorbable pin: a new method of fixation for digital arthrodesis. .J Foot Surg 29::122. ,1990. .

  • 10

    Ohm OW II, McDonell M, Vetter WA: Digital arthrodesis: an alternative method for correction of hammer toe deformity. .J Foot Surg 29::207. ,1990. .

  • 11

    Martin WJ, Mandracchia VJ, Beckett DE: The incidence of postoperative infection in outpatient podiatric surgery. .JAPA 74::89. ,1984. .

  • 12

    Reese AT, Stone MH, Young AB: Toe fusion using Kirschner wire: a study of the postoperative infection rate and related problems. .J R Coll Surg Edinb 32::158. ,1987. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Creighton RE, Blustein SM: Buried Kirschner wire fixation in digital fusion. .J Foot Ankle Surg 34::567. ,1995. .

  • 14

    Newman RJ, Fitton JM: An evaluation of operative procedures in the treatment of hammer toe. .Acta Orthop Scand 50::709. ,1979. .

  • 15

    McGlamry ED: Comprehensive Textbook of Foot Surgery, p 78, Williams & Wilkins, Baltimore, 1987..

    • PubMed
    • Export Citation
  • 16

    Monson DK, Buell TR, Scurran BL: Lesser digital arthrodesis. .Clin Podiatr Med Surg 3::347. ,1986. .

  • 17

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

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    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
  • 19

    Lehman DE, Smith RW: Treatment of symptomatic hammertoe with a proximal interphalangeal joint arthrodesis. .Foot Ankle Int 16::535. ,1995. .

  • 20

    Jarrett BA, Manzi JA, Green DR: Interossei and lumbricales muscles of the foot: an anatomical and functional study. .JAPA 70::1. ,1980. .

  • 21

    Lamm BM, Ribeiro CE, Vlahovic TC, et al: Peg-in-hole, end-to-end, and V arthrodesis: a comparison of digital stabilization in fresh cadaveric specimens. .JAPMA 91::63. ,2001. .

    • PubMed
    • Search Google Scholar
    • Export Citation
Article Type:
Original Articles
Online Publication Date:
Jul 2001

Lesser Proximal Interphalangeal Joint Arthrodesis

A Retrospective Analysis of the Peg-in-Hole and End-to-End Procedures

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

Search for other papers by Bradley M. Lamm in
Current site
Google Scholar
PubMed Close
 BS
,
Carla E. Ribeiro Submitted during fourth year, Temple University School of Podiatric Medicine, Philadelphia, PA.

Search for other papers by Carla E. Ribeiro in
Current site
Google Scholar
PubMed Close
 BS
,
Tracey C. Vlahovic Submitted during fourth year, Temple University School of Podiatric Medicine, Philadelphia, PA.

Search for other papers by Tracey C. Vlahovic in
Current site
Google Scholar
PubMed Close
 BS
,
Anthony Fiorilli Submitted during second year, Temple University School of Podiatric Medicine, Philadelphia, PA.

Search for other papers by Anthony Fiorilli in
Current site
Google Scholar
PubMed Close
 BS
,
Gary R. Bauer Associate Professor, Department of Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA.

Search for other papers by Gary R. Bauer in
Current site
Google Scholar
PubMed Close
 DPM
, and
Howard J. Hillstrom Associate Professor, Department of Orthopedics and Biomechanics, Director, Gait Study Center, Temple University School of Podiatric Medicine. Mailing address: Eighth at Race St, Philadelphia, PA 19107.

Search for other papers by Howard J. Hillstrom in
Current site
Google Scholar
PubMed Close
 PhD
DOI:
https://doi.org/10.7547/87507315-91-7-331
Restricted access
Copyright Permission Requests
USD  $35.00
Click here to view the full Terms and Conditions

A retrospective study was performed to compare the prevalence of complications in peg-in-hole and end-to-end arthrodesis procedures. The authors reviewed 177 second, third, and fourth proximal interphalangeal joint fusions for the correction of hammer toe deformities in 85 patients from 1988 to 1998 at the Temple University School of Podiatric Medicine. The average age of the patients was 49 years. Sixteen percent (14) of the subjects were male and 84% were (71) female. Upon follow-up, the fourth digit was generally associated with a greater number of complications for the end-to-end and peg-in-hole procedures, with the second digit being the most common site of fusion. The prevalence of complications was evaluated using contingency table analysis and expressed as a percent of total complications (27%, the end-to-end group; 17%, the peg-in-hole group). A subset of complications deemed clinically relevant was also computed. Similarly, the prevalence of clinically relevant complications for the end-to-end (10%) and the peg-in-hole (9%) procedures was not statistically significant. Therefore, this study showed no statistically significant differences in the total or clinically relevant complications between end-to-end and the peg-in-hole arthrodesis procedures. (J Am Podiatr Med Assoc 91(7): 331-336, 2001)

Save