Comparison of Hallux Interphalangeal Joint Arthrodesis Fixation Techniques

A Retrospective Multicenter Study

Jakob C. Thorud, Tyler Jolley, Naohiro Shibuya, Eric Lew, Matthew Britt, Ted Butterfield, Alan Boike, Mark Hardy, Steven P. Brancheau, Travis Motley, Daniel Jupiter

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Few studies have investigated the complications that occur after hallux interphalangeal joint arthrodesis. The present study evaluated complications in 152 patients aged 18 to 80 years from 2005 to 2012 from 4 different academic institutions after hallux interphalangeal joint arthrodesis. Overall, 65.8% of the patients had ≥1 complication. Infections occurred in 16.5%, dehiscence in 12.5%, and reoperations in 27.0%. The clinical nonunion rate was ≥17.8%, and the radiographic nonunion rate was ≥13.8%. After logistic regression analysis, only the study site and peripheral neuropathy were associated with having ≥1 complication (p <.01 and p <.05, respectively). Single screw fixation compared with other fixation did not have a statistically significant influence on the postoperative complications. However, when fixation was expanded to 4 categories, single screw fixation had lower infection and reoperation rates than either crossed Kirschner wires or other fixation category but not compared with crossed screws on multivariate logistic regression analysis. Although additional studies are warranted, the findings from the present study might aid in both the prognosis of complications and the support of the use of a single screw over crossed Kirchner wire fixation in hallux interphalangeal joint arthrodesis.

Original languageEnglish (US)
Pages (from-to)22-27
Number of pages6
JournalJournal of Foot and Ankle Surgery
Volume55
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Hallux
Arthrodesis
Multicenter Studies
Retrospective Studies
Joints
Reoperation
Logistic Models
Regression Analysis
Bone Wires
Peripheral Nervous System Diseases
Infection

Keywords

  • Fusion
  • Great toe
  • Intramedullary screw

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Comparison of Hallux Interphalangeal Joint Arthrodesis Fixation Techniques : A Retrospective Multicenter Study. / Thorud, Jakob C.; Jolley, Tyler; Shibuya, Naohiro; Lew, Eric; Britt, Matthew; Butterfield, Ted; Boike, Alan; Hardy, Mark; Brancheau, Steven P.; Motley, Travis; Jupiter, Daniel.

In: Journal of Foot and Ankle Surgery, Vol. 55, No. 1, 01.01.2016, p. 22-27.

Research output: Contribution to journalArticle

Thorud, JC, Jolley, T, Shibuya, N, Lew, E, Britt, M, Butterfield, T, Boike, A, Hardy, M, Brancheau, SP, Motley, T & Jupiter, D 2016, 'Comparison of Hallux Interphalangeal Joint Arthrodesis Fixation Techniques: A Retrospective Multicenter Study', Journal of Foot and Ankle Surgery, vol. 55, no. 1, pp. 22-27. https://doi.org/10.1053/j.jfas.2015.04.007
Thorud, Jakob C. ; Jolley, Tyler ; Shibuya, Naohiro ; Lew, Eric ; Britt, Matthew ; Butterfield, Ted ; Boike, Alan ; Hardy, Mark ; Brancheau, Steven P. ; Motley, Travis ; Jupiter, Daniel. / Comparison of Hallux Interphalangeal Joint Arthrodesis Fixation Techniques : A Retrospective Multicenter Study. In: Journal of Foot and Ankle Surgery. 2016 ; Vol. 55, No. 1. pp. 22-27.
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