Journal of Korean Foot and Ankle Society  2012;16(2):135-139

Two Stage Procedure with a Temporary Antibiotic-impregnated Cement Spacer of Infected Hallux Interphalangeal Joint (A Case Report).

Soo Uk CHAE 1 ; Yeung Jin KIM ; Ha Heon SONG ; Jong Yun KIM

Affiliations

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Keywords

Interphalangeal joint; Hallux; Infected arthritis; Cement spacer

Country

Republic of Korea

Language

Korean

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.