Hood Christopher R, Blacklidge Douglas K, Hoffman Scott M
Division of Premier Orthopaedics, Pennsylvania Orthopaedic Center, Malvern, Pennsylvania (CRH)American Health Network, Carmel, Indiana (DKB, SMH).
Division of Premier Orthopaedics, Pennsylvania Orthopaedic Center, Malvern, Pennsylvania (CRH)American Health Network, Carmel, Indiana (DKB, SMH)
Foot Ankle Spec. 2016 Oct;9(5):432-7. doi: 10.1177/1938640016640896. Epub 2016 Apr 12.
Digital arthrodesis is one of the most common surgical procedures performed by the foot and ankle surgeon. The market offers a variety of devices available to the surgeon to accomplish solid, permanent, and safe fusion for the patient. However, with these new devices come high surgical costs, adding to the burden on the already strapped health care system. We offer a simple technique updating the way in which a Kirschner wire is utilized for interphalangeal digital arthrodesis that employs the benefits of the newer implantable devices at a fraction of the cost. Two Kirschner wires are buried in a slightly diverging pattern to increase rotational stability while adding slight compression across the fusion site. In this article, we explain the technique and present a case example of its implementation.
Therapeutic, Level V: Expert opinion.
数字关节固定术是足踝外科医生最常进行的外科手术之一。市场上为外科医生提供了多种设备，以实现为患者进行稳固、永久且安全的融合。然而，这些新设备带来了高昂的手术成本，加重了本就资金紧张的医疗保健系统的负担。我们提供一种简单技术，更新了克氏针用于指间关节固定术的方式，该技术以较低成本利用了新型可植入设备的优点。两根克氏针以略微发散的方式埋入，以增加旋转稳定性，同时在融合部位施加轻微加压。在本文中，我们解释该技术并给出其实施的病例示例。
治疗性，V级：专家意见。
