Fernández C Sergio, Wagner Emilio, Ortiz Cristian
Foot & Ankle, Clinica Santa Maria, Las Condes, Santiago, Chile.
Foot Ankle Clin. 2012 Sep;17(3):473-80. doi: 10.1016/j.fcl.2012.07.004.
Treatment of rigid claw toe is still subject to discussion and evolution. Arthrodesis or arthroplasty of the PIPJ is apparently the most reliable procedure. K wire seems be the most reliable way to solve this clinical issue, but different implants specifically created to treat PIPJ deformities are being developed, and still have to be tested clinically. The use of screws to fix the PIPJ is a valid alternative, although some problems remain to be solved, specifically pain in relation to the tip of the screw. Longer follow-up studies are needed to increase our knowledge of the treatment of this specific deformity.
僵硬爪形趾的治疗仍在不断探讨和发展。近端指间关节（PIPJ）融合术或关节成形术显然是最可靠的手术方法。克氏针似乎是解决这一临床问题最可靠的方法，但专门用于治疗PIPJ畸形的不同植入物正在研发中，仍有待临床测试。使用螺钉固定PIPJ是一种有效的替代方法，尽管仍有一些问题有待解决，特别是螺钉尖端引起的疼痛问题。需要进行更长时间的随访研究，以增进我们对这种特定畸形治疗的了解。
