Interphalangeal Arthrodesis of the Toe With a New Radiolucent Intramedullary Implant (Toegrip).
BACKGROUND
Interphalangeal arthrodesis is a very common surgical treatment of rigid hammertoe and claw toe deformities. The K-wires habitually used in this procedure are sometimes complicated by pin tract infection, migration, discomfort, and breakage. The aim of this study is to evaluate the results of an interphalangeal arthrodesis with a new radiolucent angulated intramedullary implant.


METHODS
A total of 377 implants were placed in 297 patients between October 1, 2011, and October 1, 2012. In this study, 157 patients had more than 1 year follow-up and 142 patients were reviewed. The operation technique is explained in detail.


RESULTS
This intramedullary device offers a good immediate mechanical stability, adequate deformity correction, and a high rate of consolidation (83%). The satisfaction rate of patients in this series was 94%.


CONCLUSIONS
This study demonstrates good results with a new generation of radiolucent implants.


METHODS
Therapeutic, Level IV: Case series.
Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold).
Christophe
C
Averous
Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold).
Frederic
F
Leider
Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold).
Hubert
H
Rocher
Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold).
Patrice
P
Determe
Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold).
Stephane
S
Guillo
Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold).
Christophe
C
Cermolacce
Clinique del Orangerie, Strasbourg, France (CA, FL)Institut Aquitain du Pied Bordeaux, Pessac, France (HR)Medipole Garonne, Toulouse, France (P Determe)Clinique du Sport, Bordeaux, Merignac, France (SG)Clinique Juge, Marseille, France (CC)Nancy, France (P Diebold) Patrice.diebold@wanadoo.fr.
Patrice
P
Diebold
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001174:Arthrodesis / Q000295:instrumentation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D019736:Prostheses and Implants; D012086:Reoperation; D012189:Retrospective Studies; D014033:Toe Joint / Q000601:surgery*; D064232:Visual Analog Scale
forefoot; lesser ray deformities; midfoot; pain management