A Closer Look At An Emerging Fixation Option For The Akin Osteotomy

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Author(s): 
Nga T. Ho, DPM, Branden R. Rhodes, DPM, and Stephen Kominsky, DPM, FACFAS

   In previous years, one of the authors has also utilized wire fixation in the Akin osteotomy. Though this also has a relatively easy method of insertion, other inherent complications can occur with this fixation. It can be difficult to achieve adequate compression of the plantar cortex. We have also found that wire fixation breaks and fails more often than other methods of fixation. This subsequently compromises stability and leads to decreased compression, bone apposition, and can result in delayed unions and nonunions.

   To date, we have not seen any failure or breakage of the EasyClip SI staple fixation or other fixation related complication.

In Conclusion

The EasyClip SI compression device is a promising alternative for the fixation of standard Akin procedures. This fixation is low profile and provides a constant compressive force of at least 5 to 6 kg without the need for heat activation and in fewer steps than it takes to insert a lag screw. It offers a simple technique of attaining rigid, stable internal fixation that allows for a short learning curve and decreases tourniquet time as well as overall surgical time.

   Dr. Ho is a third-year resident in the Department of Podiatric Medicine and Surgery at the Washington Hospital Center in Washington, D.C.

   Dr. Rhodes is a third-year resident in the Department of Podiatric Medicine and Surgery at the Washington Hospital Center in Washington, D.C.

   Dr. Kominsky is the Director of the Department of Podiatric Medicine and Surgery at the Washington Hospital Center in Washington, D.C. He is a Fellow of the American College of Foot and Ankle Surgeons.




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