Novel Surgical Approach to Reducible Hammertoe Repair: Plantar Incisional PIPJ Arthroplasty

Raymond Lopez, Brian Asencio and Jacqueline Brill

Department of Foot & Ankle Surgery, Mt. Sinai Medical Center, USA

^*Correspondance to: Raymond Lopez 

 PDF  Full Text DOI: 10.25107/2474-1647.1433

Abstract

The surgical correction of hammertoe deformities has been conventionally approached through a longitudinal or elliptical incision located just proximal to the affected proximal interphalangeal joint (PIPJ) on the dorsal aspect of the affected digit. While this has proven to be a safe and effective surgical approach, common complications including painful, deforming scar contracture and poor cosmesis, promoted the authors to investigate this novel plantar incisional approach. In addition, the increasing patient interest towards minimally invasive procedures and cosmetically conscious outcomes necessitates other options. For example, the lateral approach has been outlined with good results however; by the nature of the location of the lateral incision have inherent higher risk of compromising to the neurovascular supply to the digit, increasing the risk of ischemia or paresthesias. Although other alternative approaches have been attempted to address these issue, the plantar approach as described by the authors has never been presented in the literature. This novel approach not only allows the surgeon to address the physiological deformity, but also minimizes the common complications associated with the more traditional procedures. Additionally, the authors feel that this approach will satisfy the ever-growing trend towards patients seeking the most cosmetic and aesthetically pleasing outcome.

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Cite the article

Lopez R, Asencio B, Brill J. Novel Surgical Approach to Reducible Hammertoe Repair: Plantar Incisional PIPJ Arthroplasty. Clin Surg. 2017; 2: 1433.