Arthrodesis of the First Metatarsophalangeal Joint Utilizing a Chamfered compression screw and low-profile dorsal locking plate

BackgroundFirst Metatarsophalanageal Joint (MTPJ) fusion is a reliable treatment for end stage arthritis of the 1st MTPJ and still considered gold standard. Historically non-union hardware removal rates are in 5–10% range which can lead to need revision surgery. We describe technique utilizing chamfered headless compression screw low profile dorsal locking plate evaluate time osseous union.MethodsRetrospective radiographic review performed on 43 fusions plate. Patients were evaluated union (days), complications, removal, rates.ResultsWe demonstrated that rate at mean 76.3 days was 93.1 percent. Three patients underwent surgery while no required painful hardware. Complications included 4 superficial infections cleared with oral antibiotics, 1 contact dermatitis, asymptomatic lucency 3 non-unionsConclusionWe found our provides satisfactory pain may decrease necessity additional surgical procedures.