A Prospective Randomized Comparison of Three Methods for Fixation of Hammertoes

NCT ID: NCT01927952

Last Updated: 2013-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2016-12-31

Brief Summary

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The purpose of this research project is to compare three different methods for fixation of hammertoe deformities: (1) Kirschner wire; (2) Integra IPP-ON PIP Fusion System; and (3) Stryker Smart-Toe implant.

Detailed Description

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This is a prospective, randomized study and will assist us in ascertaining which of the three tested interventions has the most beneficial outcome.

Conditions

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Acquired Deformities of Toe

Keywords

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hammertoe

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Kirschner wire

surgical fixation using a Kirschner wire

Group Type ACTIVE_COMPARATOR

Kirschner wire

Intervention Type PROCEDURE

Surgical fixation utiliziing Kirschner wire

Integra IPP-On PIP Fusion System

surgical fixation utilizing the Integra IPP-On PIP Fusion System

Group Type ACTIVE_COMPARATOR

Integra IPP-On PIP Fusion System

Intervention Type PROCEDURE

surgical fixation utilizing the Integra IPP-On PIP Fusion System

Stryker Smart-Toe implant

surgical fixation utilizing the Stryker Smart-Toe implant

Group Type ACTIVE_COMPARATOR

Stryker Smart-Toe Implant

Intervention Type PROCEDURE

surgical fixation utilizing the Stryker Smart-Toe Implant

Interventions

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Kirschner wire

Surgical fixation utiliziing Kirschner wire

Intervention Type PROCEDURE

Integra IPP-On PIP Fusion System

surgical fixation utilizing the Integra IPP-On PIP Fusion System

Intervention Type PROCEDURE

Stryker Smart-Toe Implant

surgical fixation utilizing the Stryker Smart-Toe Implant

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Adult subjects (greater than or equal to 18 years of age) diagnosed with hammertoe deformity, acquired (ICD9 734.5) requiring surgical fixation
* Subject has given voluntary, written informed consent to participate in this clinical investigation.
* Subject, in the opinion of the clinical investigator, is able to understand the clinical investigation and is willing to perform all study procedures and follow-up visits
* Subject must be comfortable with speaking, reading, and understanding questions and providing responses in an available translated language.

Exclusion Criteria

* Subjects less than 18 years of age
* Subjects with peripheral or central neurologic disease causing neurologic symptoms, including pain, dysthesia, or numbness of the operative leg
* Subjects diagnosed with complicated diabetes mellitus with noted neuropathy, diagnosed by the 10-g monofilament test
* Inability to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Susan Hassenbein

OTHER

Sponsor Role lead

Responsible Party

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Susan Hassenbein

Clinical Research Associate

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Umur Aydogan, MD

Role: PRINCIPAL_INVESTIGATOR

Milton S. Hershey Medical Center

Locations

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Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Countries

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United States

References

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Coughlin MJ, Dorris J, Polk E. Operative repair of the fixed hammertoe deformity. Foot Ankle Int. 2000 Feb;21(2):94-104. doi: 10.1177/107110070002100202.

Reference Type BACKGROUND
PMID: 10694020 (View on PubMed)

Reece AT, Stone MH, Young AB. Toe fusion using Kirschner wire. A study of the postoperative infection rate and related problems. J R Coll Surg Edinb. 1987 Jun;32(3):158-9. No abstract available.

Reference Type BACKGROUND
PMID: 3656240 (View on PubMed)

Zingas C, Katcherian DA, Wu KK. Kirschner wire breakage after surgery of the lesser toes. Foot Ankle Int. 1995 Aug;16(8):504-9. doi: 10.1177/107110079501600809.

Reference Type BACKGROUND
PMID: 8520664 (View on PubMed)

Klammer G, Baumann G, Moor BK, Farshad M, Espinosa N. Early complications and recurrence rates after Kirschner wire transfixion in lesser toe surgery: a prospective randomized study. Foot Ankle Int. 2012 Feb;33(2):105-12. doi: 10.3113/FAI.2012.0105.

Reference Type BACKGROUND
PMID: 22381341 (View on PubMed)

Lehman DE, Smith RW. Treatment of symptomatic hammertoe with a proximal interphalangeal joint arthrodesis. Foot Ankle Int. 1995 Sep;16(9):535-41. doi: 10.1177/107110079501600904.

Reference Type BACKGROUND
PMID: 8563920 (View on PubMed)

Caterini R, Farsetti P, Tarantino U, Potenza V, Ippolito E. Arthrodesis of the toe joints with an intramedullary cannulated screw for correction of hammertoe deformity. Foot Ankle Int. 2004 Apr;25(4):256-61. doi: 10.1177/107110070402500411.

Reference Type BACKGROUND
PMID: 15132935 (View on PubMed)

Sarrafian SK. Correction of fixed hammertoe deformity with resection of the head of the proximal phalanx and extensor tendon tenodesis. Foot Ankle Int. 1995 Jul;16(7):449-51. doi: 10.1177/107110079501600714.

Reference Type BACKGROUND
PMID: 7550962 (View on PubMed)

Konkel KF, Sover ER, Menger AG, Halberg JM. Hammer toe correction using an absorbable pin. Foot Ankle Int. 2011 Oct;32(10):973-8. doi: 10.3113/FAI.2011.0973.

Reference Type BACKGROUND
PMID: 22224327 (View on PubMed)

Gadkari K, et al. A Prospective Comparison of a Permanent Intramedullary Device to K-Wire Fixation for Proximal Interphalangeal Joint Fusion: Early Results. Presented at AAOS Annual Meeting 2013, AOFAS Specialty Day

Reference Type BACKGROUND

Martin RL, Irrgang JJ, Burdett RG, Conti SF, Van Swearingen JM. Evidence of validity for the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int. 2005 Nov;26(11):968-83. doi: 10.1177/107110070502601113.

Reference Type BACKGROUND
PMID: 16309613 (View on PubMed)

Other Identifiers

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IRB - 43245

Identifier Type: -

Identifier Source: org_study_id