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Hammertoes pp 141–147Cite as

Proximal Interphalangeal Joint (PIPJ) Arthrodesis with a Poly-etheretherketone (PEEK) Implant

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Abstract

The relevant pathomechanics that have led to digital contracture have already been discussed in a comprehensive manner in previous chapters. The focus of this case presentation is dedicated to the treatment of the deformity via arthrodesis as mediated with a poly-etheretherketone (PEEK) implant. The material merits of PEEK provide significant advantages over traditional Kirschner wires (K-wires) which are detailed within this chapter. In addition to the material advantages, we will highlight the benefits and techniques for the use of a contemporary implant that we have been using since 2012. The implant is a two-component design that enhances stability and reliability of digital arthrodesis. Although more costly, clinical outcomes have been more successful and consistent as compared to the percutaneous technique. The market has been flooded with digital implants that have emerged in recent years with many implants gaining significant acceptance. Although there are significant differences in these implants, the fact remains that if the cheap and simple K-wire approach was adequate, then why have so many implants emerged and remained relevant?

Keywords

  • Implant arthrodesis
  • Digital deformity
  • Hammertoe deformity
  • Poly-etheretherketone
  • PEEK
  • Allografts
  • Arthrodesis
  • Toe joint
  • Hammertoe syndrome

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  • DOI: 10.1007/978-3-319-16552-3_11
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References

  1. Ramakrishna S, Mayer J, Wintermantel E, Leong KW. Biomedical applications of polymer-composite materials: a review. Compos Sci Technol. 2001;61(9):1189–224.

    CrossRef  CAS  Google Scholar 

  2. Kurtz SM, Devine JN. PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials. 2007;28:4845–69. https://doi.org/10.1016/j.biomaterials.2007.07.013.

    CrossRef  CAS  PubMed  PubMed Central  Google Scholar 

  3. Panayotov IV, Orti V, Cuisinier F, et al. Polyetheretherketone (PEEK) for medical applications. J Mater Sci Mater Med. 2016;27:118. https://doi.org/10.1007/s10856-016-5731-4.

    CrossRef  CAS  PubMed  Google Scholar 

  4. Edwards WH, Beischer AD. Interphalangeal joint arthrodesis of the lesser toes. Foot Ankle Clin. 2002;7(1):43–8.

    CrossRef  Google Scholar 

  5. O’Kane C, Kilmartin T. Review of proximal interphalangeal joint excisional arthroplasty for the correction of second hammer toe deformity in 100 cases. Foot Ankle Int. 2005;26(4):320–5.

    CrossRef  Google Scholar 

  6. Kramer WC, Parman M, Marks RM. Hammertoe correction with K-wire fixation. Foot Ankle Int. 2015;36(5):494–502.

    CrossRef  Google Scholar 

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Authors and Affiliations

  1. Harvard Medical School, Division of Podiatry, Department of Surgery, Mount Auburn Hospital, Cambridge, MA, USA

    Jeremy J. Cook & Emily A. Cook

Authors
  1. Jeremy J. Cook
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  2. Emily A. Cook
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Correspondence to Jeremy J. Cook .

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Editors and Affiliations

  1. Harvard Medical School, Mount Auburn Hospital, Cambridge, MA, USA

    Emily A. Cook

  2. Harvard Medical School, Mount Auburn Hospital, Cambridge, MA, USA

    Jeremy J. Cook

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Cook, J.J., Cook, E.A. (2019). Proximal Interphalangeal Joint (PIPJ) Arthrodesis with a Poly-etheretherketone (PEEK) Implant. In: Cook, E., Cook, J. (eds) Hammertoes. Springer, Cham. https://doi.org/10.1007/978-3-319-16552-3_11

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  • DOI: https://doi.org/10.1007/978-3-319-16552-3_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16551-6

  • Online ISBN: 978-3-319-16552-3

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