This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lamm, B. M. Articles by Hillstrom, H. J. Search for Related Content PubMed PubMed Citation Articles by Lamm, B. M. Articles by Hillstrom, H. J.

Peg-in-Hole, End-to-End, and V Arthrodesis

A Comparison of Digital Stabilization in Fresh Cadaveric Specimens

Bradley M. Lamm, BS^*, Carla E. Ribeiro, BS^*, Tracey C. Vlahovic, BS^*, Gary R. Bauer, DPM and Howard J. Hillstrom, PhD

^* Submitted during third year, Temple University School of Podiatric Medicine, Philadelphia, PA.
Associate Professor, Department of Surgery, Temple University School of Podiatric Medicine, Philadelphia, PA.
Director, Gait Study Center, and Associate Professor, Department of Orthopedics and Medicine, Temple University School of Podiatric Medicine, Philadelphia, PA; Visiting Assistant Research Professor, Biomedical Engineering and Science Institute, Drexel University, Philadelphia, PA. Mailing address: Temple University School of Podiatric Medicine, Eighth at Race St, Philadelphia, PA 19107.

Abstract

The proximal interphalangeal joint arthrodesis is frequently performed to correct hammer toe deformities. This study was conducted to compare the inherent stability of the three proximal interphalangeal joint arthrodeses—peg-in-hole, end-to-end, and V constructs—in the sagittal plane by means of load-to-failure testing of 30 fresh-frozen cadaveric specimens fixated with a 0.045 Kirschner wire. The peg-in-hole construct was associated with significantly higher peak loads at failure compared with the other two procedures. Furthermore, the peg-in-hole construct had significantly higher stiffness values as compared with the V procedure. This study thus provides evidence that the peg-in-hole procedure is the most biomechanically stable surgical construct for proximal interphalangeal joint fusions under sagittal plane loading. (J Am Podiatr Med Assoc 91(2): 63-67, 2001)

This article has been cited by other articles:

				B. M. Lamm, C. E. Ribeiro, T. C. Vlahovic, A. Fiorilli, G. R. Bauer, and H. J. Hillstrom Lesser Proximal Interphalangeal Joint Arthrodesis: A Retrospective Analysis of the Peg-in-Hole and End-to-End Procedures J Am Podiatr Med Assoc, July 1, 2001; 91(7): 331 - 336. [Abstract] [Full Text] [PDF]