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
  • 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.

Keyword

Interphalangeal joint; Hallux; Infected arthritis; Cement spacer

MeSH Terms

Arthritis, Infectious
Debridement
Dislocations
Hallux
Intra-Articular Fractures
Joints
Metatarsophalangeal Joint
Osteoarthritis
Osteomyelitis
Sepsis
Transplants
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