[Research progress of interphalangeal arthrodesis]

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2020 Sep 15;34(9):1195-1199. doi: 10.7507/1002-1892.201910093.
[Article in Chinese]

Abstract

Objective: To review the research progress of interphalangeal arthrodesis in the treatment of interphalangeal joint deformity.

Methods: The literature about interphalangeal arthrodesis at home and abroad was extensively consulted, and the indications, fusion methods, fixation methods, complications, and so on were summarized and analysed.

Results: The indications of interphalangeal arthrodesis are hammer toe, claw toe, and mallet toe. From the different forms of fusion surface, fusion methods include end-to-end, peg-in-hole, conical reamer type, and V-shape arthrodesis. There are three kinds of fixation methods: Kirschner wire fixation, stainless-steel wire suture fixation, and intramedullary fixation, and there are many kinds of intramedullary fixation. The complications of interphalangeal arthrodesis include vascular injury, fixation related complications, and postoperative complications.

Conclusion: Interphalangeal arthrodesis is a good way to correct some deformities of toes, but the incidence of various complications can not be ignored, and there is still a lack of clinical research on interphalangeal arthrodesis.

目的: 对趾间关节融合术矫治趾间关节畸形的研究进展进行综述。.

方法: 广泛查阅国内外关于趾间关节融合术相关文献,对其适应证、融合方式、固定方式、并发症等方面进行总结分析。.

结果: 趾间关节融合术适应证为锤状趾、爪形趾、槌状趾等足趾畸形。从融合面不同形态来看,融合方式包括端-端融合、榫卯融合、球窝融合及 V 形截骨融合。固定方式分为经皮克氏针固定、钢丝缝扎固定及骨髓内固定三类,骨髓内固定物种类繁多。趾间关节融合术并发症包括血管损伤、固定物相关并发症及一般外科手术后并发症三大类。.

结论: 趾间关节融合术是矫正部分足趾畸形的一种良好术式,但各种并发症发生率不容忽视,临床上仍缺乏有关趾间关节融合术的研究。.

Keywords: Toe deformity; hammer toe; interphalangeal arthrodesis.

Publication types

  • Review

MeSH terms

  • Arthrodesis
  • Bone Wires
  • Hammer Toe Syndrome*
  • Humans
  • Toe Joint*
  • Toes