Nonunion in Proximal Phalanx of Great Toe Treated by Grafting with Precisely Processed Autologous Bone Peg

Imade, Shinji MD, PhD
Miyamoto, Wataru MD
Sanada, Hideaki MD
Mori, Ryuji MD, PhD
Uchio, Yuji MD, PhD

¹Assistant Professor, Department of Orthopaedic Surgery, Shimane University School of Medicine, Shimane, Japan
²Associate Professor, Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo, Japan
³Associate Professor, Department of Orthopaedic Surgery, Shimane University School of Medicine, Shimane, Japan
⁴Professor, Department of Orthopaedic Surgery, Shimane University School of Medicine, Shimane, Japan

Address correspondence to: Shinji Imade, MD, PhD, Assistant Professor, Department of Orthopaedic Surgery, Shimane University School of Medicine, 89–1, Enya, Izumo, Shimane 693–8501 Japan. E-mail address:[email protected].

Financial Disclosure: None reported.

Conflict of Interest: None reported.

Journal of Foot & Ankle Surgery 50(4):p 449-452, July 2011.

We report a rare case of nonunion in the proximal phalanx of the great toe treated by grafting with a precisely processed autologous bone peg. The concept of this surgical method was to fix the nonunion of the proximal phalanx of the great toe using press-fit fixation and a bone peg precisely formed to fit the medullary cavity similar to an intramedullary nail. We believe that our new technique is a viable alternative for the treatment of phalanx fractures or nonunions requiring bone grafts.