J Korean Foot Ankle Soc.
2012 Jun;16(2):135-139.
Two Stage Procedure with a Temporary Antibiotic-impregnated Cement Spacer of Infected Hallux Interphalangeal Joint (A Case Report)
- Affiliations
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- 1Department of Orthopedic Surgery, Wonkwang University School of Medicine, Iksan, Korea. oschae68@hanmail.net
- 2Department of Orthopedic Surgery, Cham Hospital, Jeonju, Korea.
Abstract
- The interphalangeal joint (IPJ) of the hallux has received little attention compared with the first metatarsophalangeal joint. But, the hallucal IPJ has several disorders such intra-articular fractures, dorsal dislocation, alignment disorder, and inflammatory or degenerative arthritis. Among these disorders septic arthritis of the IPJ of the hallux is rare. We report a case of sepsis of the hallucal IPJ and adjacent underlying osteomyelitis without neuropathic problem and was performed through infected soft tissue and osseous debridement, temporary antibiotic-impregnated cement spacer, and delayed intercalary allogenic fibular bone graft with K-wire fixation.