Author/Authors :
Leme Godoy-Santos, Alexandre Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP - Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR , Giordano, Vincenzo Hospital Municipal Miguel Couto - Prof. Nova Monteiro Service of Orthopedics and Traumatology, Rio de Janeiro, RJ, Brazil , de Cesar Netto, Cesar University of Iowa - Department of Orthopedics and Rehabilitation, Iowa City, IA, USA , Barban Sposeto, Rafael Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP - Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR , Carneiro Bitar, Rogério Hospital das Clínicas - Ribeirão Preto Medical School - Department of Orthopedics and Anesthesiology, Ribeirão Preto, SP, Brazil , Wajnsztejn, André Hospital Israelita Albert Einstein, São Paulo, SP, Brazil , Hideyo Sakaki, Marcos Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP - Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR , Diniz Fernandes, Túlio Lab. Prof Mario Manlio Marco Napoli, Hospital das Clinicas HCFMUSP - Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR
Abstract :
Objectives: To describe the surgical treatment of fractures that
involves the hallux interphalangeal joint, current indications and
management options. Methods: we performed a literature review of
relevant clinical studies in multiple databases, including PubMed,
MedLine and Scopus, from January 1989 to October 2020.
Results: There is consensus for surgical treatment of intra-articular
fractures with a deviation greater than 2 mm, metadiaphyseal
fractures with malrotation and/or malangulation, open fractures
and unstable fractures. Conclusion: The use of more rigid implants
allow alignment maintenance during healing process and lower
risk of reduction loss. Valgus deformity and interphalangeal joint
osteoarthritis are possible complications that must be avoided.
Level of Evidence III, Systematic review of Level III studie
