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Is The InterPhlex A Viable Option In Hammertoe Surgery?

By Kerry Zang, DPM | 18,207 reads | 0 comments | 01/03/2007

      One of the most common conditions that the foot and ankle surgeon will encounter is the hammertoe deformity. Surgeons have used multiple procedures for more than 60 years to deal with this condition. These have included amputation of the digit, arthrodesis of the interphalangeal joints, soft tissue releases, arthroplasty (removal of bone, partial or complete), tendon transfers, implants and/or a combination of the above. The most popular procedure during this time has been the arthroplasty with resection of the head of the proximal phalanx.

New Implant Offers Viable Alternative For Hammertoe Surgery

Lauren Grant, Editorial Assistant | 11,146 reads | 0 comments | 02/26/2009

   For podiatric surgeons looking to reduce complications, improve outcomes and facilitate less postoperative pain for patients, a new implant may prove to be more beneficial than K-wire fixation in correcting hammertoe deformities.

Photo 1. Here one can see a straightforward hammertoe of the second digit. The deformity was only in the sagittal plane. A buried intramedullary K-wire technique works great for this condition.

The Art Of Dealing With The Challenges Of Hammertoe Surgery

William Fishco DPM FACFAS | 28,758 reads | 1 comments | 01/29/2010

Hammertoe surgery is a mainstay in every podiatrist’s office. I have personally found that hammertoe surgery is among the most challenging surgery we perform. Although the surgery is seemingly simple, the results are not as predictable as other surgeries that we do. When we look at each toe individually, there are inherent challenges that each one possesses.

How To Handle Complications Of Hammertoe Surgery

By Lowell Weil Jr., DPM, MBA, and Richard A. Schilling, DPM | 152,331 reads | 0 comments | 09/03/2005

           Offering insights and pearls from their experience, these authors discuss essential preoperative and intraoperative steps for reducing the risk of complications from hammertoe surgery. They also offer salient advice for rectifying complications when they occur.      There are several reasons why patients undergo hammertoe surgery. While pain is the most common indication for hammertoe surgery, one cannot separate pain and cosmesis in many of these cases.

Hammertoe Surgery: Can Emerging Advances In Fixation Have An Impact?

By Bob Baravarian, DPM | 12,210 reads | 0 comments | 09/03/2008

The treatment of painful hammertoes has dramatically changed in the past several years. What used to be a troubling and often difficult problem to correct has improved to the point that correction is consistent and there is far less pain and difficulty with the return to full function. Accordingly, let us take a closer look at a treatment algorithm for the treatment of hammertoes and associated problems.

The Top Eleven Pearls For Hammertoe Surgery

By Michael D. Dujela, DPM, James L. Chianese, DPM, James R. Holfinger, DPM, and Richard J. Zirm, DPM | 38,223 reads | 0 comments | 04/03/2002

Digital contractures are among the most common deformities we see in podiatric practice. McGlamry described three etiologies for hammertoes: flexor stabilization, flexor substitution and extensor substitution.1 While each entity may exist independently, it is more likely you will see co-existing etiologies, particularly when you’re dealing with more complex deformities.

A New Approach For Correcting Hammertoe Deformities

By Gerald W. Paul, DPM | 18,546 reads | 0 comments | 01/03/2003

The advantages of lesser proximal interphalangeal joint arthrodesis in hammertoe surgery are numerous and well known. Arthrodesis is indicated in patients who have compromised intrinsic muscle function and are lacking both digital and metatarsophalangeal joint stability. Indeed, digital arthrodesis has always been an excellent procedure to consider if you fear reoccurrence of the hammertoe deformity due to biomechanical factors.

Figure 1. This fifth toe had multiple "hammertoe surgeries." The patient’s pain was mostly on the nail bed. She also had her nail removed to try to address the problem. Nothing would work short of getting the toe to purchase the ground when weightbearing.

Secrets To Navigating Hammertoe Surgery On The Fifth Toe

William Fishco DPM FACFAS | 26,673 reads | 3 comments | 11/09/2010

This blog is dedicated to the ultimate podiatry oxymoron: a simple hammertoe surgery of the fifth toe.

When it comes to foot surgery, we all got our start working on toes. In school, we all learned the three etiologies of hammertoes: extensor substitution, flexor substitution and flexor stabilization. Based on those theories, we learned a surgical algorithm. Once we got into residency, we learned that nobody really used the "textbook" for making a decision on what to do surgically.

Minimizing The Risk Of Failed Hammertoe Surgery

Johanna Richey, DPM, and Graham Hamilton, DPM, FACFAS | 43,156 reads | 0 comments | 11/19/2010

Hammertoe surgery is not without its complications as reportedly 17 percent of patients are dissatisfied with their post-op results. Accordingly, these authors review key anatomical points and essential biomechanical considerations to help ensure appropriate procedure selection and favorable post-op outcomes.

Can Stabilization Rods Provide A Viable Alternative In Hammertoe Correction?

By Anthony Leone, Special Projects Editor | 5,418 reads | 0 comments | 07/03/2006

   While many surgeons may opt for traditional arthroplasty, those who are looking for improved stability may want to consider the use of Interphlex Flexible Stabilization Rods.    Comprised of 80-durometer medical grade silicone, the Interphlex rods help maintain toe length by stabilizing and preserving the joint space, according to the product’s manufacturer OsteoMed, Inc. The company notes the stiffness of the rods addresses toe migration while the spacer provides stability of the joint space.    OsteoMed says the Interphlex rods are indicated for the correction of hammertoes.