{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:09:48Z","timestamp":1777615788070,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2013,5,14]],"date-time":"2013-05-14T00:00:00Z","timestamp":1368489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Specialist"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:p>Hammertoe digital deformity correction is a very controversial topic among foot and ankle surgeons. Hammertoes are characterized by an extension deformity at the metatarsophalangeal joint (MTPJ) and flexion deformity at the proximal interphalangeal joint (PIPJ). Current treatment options are often guided by the patient\u2019s discomfort as well as the reducibility of the affected digit. Kirschner wires (K-wires) have long been considered the gold standard for hammertoe digital repair. Although K-wires are simplistic to use as fixation, they carry inherit risks such as pin tract infections, migration, and breakage. This has lead to multiple intramedullary hammertoe devices including the PROTOE intramedullary device. This paper will discuss the usage and benefits the PROTOE has to offer over the conventional K - wire.<\/jats:p>\n                  <jats:p>Level of Evidence: IV<\/jats:p>","DOI":"10.1177\/1938640013487891","type":"journal-article","created":{"date-parts":[[2013,5,14]],"date-time":"2013-05-14T17:51:33Z","timestamp":1368553893000},"page":"214-216","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["The PROTOE Intramedullary Hammertoe Device"],"prefix":"10.1177","volume":"6","author":[{"given":"Ryan T.","family":"Scott","sequence":"first","affiliation":[{"name":"CORE Institute. Phoenix, Arizona (RTS)"},{"name":"Orthopedic Foot and Ankle Center, Westerville, Ohio (CFH, GCB)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher F.","family":"Hyer","sequence":"additional","affiliation":[{"name":"CORE Institute. Phoenix, Arizona (RTS)"},{"name":"Orthopedic Foot and Ankle Center, Westerville, Ohio (CFH, GCB)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory C.","family":"Berlet","sequence":"additional","affiliation":[{"name":"CORE Institute. Phoenix, Arizona (RTS)"},{"name":"Orthopedic Foot and Ankle Center, Westerville, Ohio (CFH, GCB)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,5,14]]},"reference":[{"key":"bibr1-1938640013487891","doi-asserted-by":"publisher","DOI":"10.1177\/107110079501600301"},{"key":"bibr2-1938640013487891","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-8422(23)00797-8"},{"key":"bibr3-1938640013487891","unstructured":"Coughlin MJ, Mann RA, Saltzman CL. Surgery of the Foot and Ankle. 8th ed. Philadelphia, PA: Mosby; 2007:389-390."},{"key":"bibr4-1938640013487891","first-page":"607","volume":"22","author":"Taylor RG","year":"1940","journal-title":"J Bone Joint Surg"},{"key":"bibr5-1938640013487891","doi-asserted-by":"publisher","DOI":"10.1177\/107110079501600809"},{"key":"bibr6-1938640013487891","first-page":"158","volume":"32","author":"Reece AT","year":"1987","journal-title":"J R Coll Surg Edinb"},{"key":"bibr7-1938640013487891","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500411"}],"container-title":["Foot &amp; Ankle Specialist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640013487891","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1938640013487891","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1938640013487891","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:32:22Z","timestamp":1777411942000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1938640013487891"}},"subtitle":["An Alternative to Kirschner Wires"],"short-title":[],"issued":{"date-parts":[[2013,5,14]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1177\/1938640013487891"],"URL":"https:\/\/doi.org\/10.1177\/1938640013487891","relation":{},"ISSN":["1938-6400","1938-7636"],"issn-type":[{"value":"1938-6400","type":"print"},{"value":"1938-7636","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,5,14]]}}}