Lesser Toe PIP Joint Arthrodesis Versus Resection Arthroplasty

University Hospital Tuebingen

Status

Completed

Conditions

Claw Toe

Lesser Toe Deformity

Treatments

Procedure: Arthrodesis

Procedure: Resection arthroplasty

Study type

Interventional

Funder types

Other

Identifiers

NCT03530839

450/2014BO1

Details and patient eligibility

About

Background: The aim of this study was to compare operative outcomes after lesser toe deformity correction with either proximal interphalangeal (PIP) joint arthrodesis or PIP joint resection arthroplasty.

Methods: A prospective randomized controlled trial was performed on 37 patients (48 toes) who underwent one of these two procedures. The Numeric Rating Scale (NRS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) score, osseous consolidation, and clinical outcome were evaluated preoperatively and at 6 weeks and 6 months postoperatively.

Enrollment

37 patients

Sex

All

Ages

30 to 75 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients with one or more claw toes with rigid PIP joint flexion and extension deformity of the MTP joint scheduled for surgical intervention in the investigator's department

Exclusion criteria

known osteoporosis or other bone metabolism disorders
prior surgery on the toe scheduled for the intervention
immunodeficiency or immunosuppressive drug intake
pregnancy
non-palpable pulses of the posterior tibial artery or the dorsalis pedis artery
anticoagulation therapy with the exception of acetylsalicylic acid
a lack of sufficient physical resilience to allow free self-mobilization and walking.