A Retrospective Study of Claw Toe Repair Combining Partial Proximal Phalangectomy (PPP), Proximal Interphalangeal (PIP) Joint Interpositional Arthroplasty and Kirschner Wire Fixation

Abstract

Background & Objective: Various operative methods have been used for the repair of claw toe deformities. We present a review of a combination of three operative procedures performed for the correction of this deformity. Methods: A review was conducted examining 105 patient clinical records over a ten year period. Patients who received either one or a combination of the following procedures: Partial Proximal Phalangectomy (PPP), Proximal Interphalangeal Joint (PIP) interpositional arthroplasty, and k-wire fixation were included. Results: Over a ten year span, a total of 86 PPP, 124 PIP and 29 k-wire fixations were performed on 96 patients. Of the 105 clinical cases reviewed, there were only 4 recurrences of claw toe deformity. Early complications included k-wire backout/breakage, reversible avascular toe in the recovery room, and pin site infection. Conclusions: The combination of the three procedures presented, are an optimal operative treatment for the repair of claw toe deformity in various patients. Assessments can be made during surgery to determine if the procedures should be used solely or in combination based on the level of deformity. This customizable technique presented a minimal level of early complications and a low recurrence rate.