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Arthrodesis of the Interphalangeal Joint of the Hallux

A Simple and Effective Technique

Gerard V. Yu Diplomate, American Board of Podiatric Surgery; Director of Podiatric Medical Education, St Vincent Charity Hospital, Cleveland, OH; private practice, Cleveland, OH. Mailing address:19787 Nob Hill, Strongsville, OH 44136.

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Frank E. Vargo Diplomate, American Board of Podiatric Surgery; private practice, Brunswick, OH.

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Joel W. Brook Submitted during third-year residency, Physicians Health Systems–Mt Sinai Medical Center, Cleveland, OH.

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The authors present a simple and effective technique to achieve arthrodesis of the hallucal interphalangeal joint. Stabilization is achieved by external fixation with crossing Kirschner wires joined together to create a single functional unit, a technique that avoids common problems often associated with Kirschner-wire fixation. The authors propose that this simple technique be considered for patients in whom it has been determined that screw fixation should not be used to obtain fusion of the interphalangeal joint. (J Am Podiatr Med Assoc 91(8): 427-434, 2001)

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