A simple technique for arthrodesis of the first metatarsophalangeal joint

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A simple method of arthrodesis of the first metatarsophalangeal joint.

Eighty-seven feet have been reviewed after arthrodesis of the first metatarsophalangeal joint stabilised by chromic catgut. Radiological union was present in 90% of patients at the mean review time of six years. Twenty-four patients had significant metatarsalgia before operation and only two failed to improve afterwards. Excellent or good subjective results were reported in 94% of patients at r...

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Arthrodesis of the first metatarsophalangeal joint.

Arthrodesis of the first metatarsophalangeal joint is indicated in patients with symptomatic arthrodesis or advanced hallux valgus deformities that are unresponsive to nonsurgical treatment. Several fixation techniques have been described, including intefragmentary compression screws and/or dorsal plate fixation. Using these modern fixation techniques, the rate of fusion is between 94% to 98%, ...

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Bone peg arthrodesis of the first metatarsophalangeal joint.

In I952 Duncan McKeever described a method of arthrodesing this joint, by means of a screw inserted across the excised joint, the head of the screw lying under the proximal phalanx, the screw itself occupying the whole of the medulla of the metatarsal shaft. He appeared to be wholly satisfied with the results, but patients who have had this type of fusion have, on occasion, complained of pain o...

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Complication rates in diabetics with first metatarsophalangeal joint arthrodesis

BACKGROUND First metatarsophalangeal joint (MTPJ) arthrodesis has been an effective surgical entity when indicated, but a range of severe to mild complications can occur from this procedure. Patients with diabetes mellitus have an increased risk in surgical complications, most commonly associated with soft tissue and bone healing, when compared to non-diabetic patients. The purpose of this stud...

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First Metatarsophalangeal Joint Arthrodesis: A Retrospective Comparison of Crossed-screws, Locking and Non-Locking Plate Fixation with Lag Screw

Background:Locking plate fixation is increasingly used for first metatarsophalangeal joint (MTP-I) arthrodesis. Still there is few comparable clinical data regarding this procedure. Methods:We retrospectively evaluated 60 patients who received an arthrodesis of the MTP-I between January 2008 and June 2010. With 20 patients each we performed a locking plate fixation with lag screw, arthrodesis w...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 1986

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.68b5.3782243