title: Functional outcome of arthrodesis of the first metatarsophalangeal joint using parallel screw fixation.
abstract: BACKGROUND
  Arthrodesis of the first metatarsophalangeal (MTP) joint is a reliable procedure for a painful hallux. Most studies focus on the surgical results rather than the functional outcome for the patient. Therefore, we examined the effects of first MTP joint arthrodesis on activities of daily living and recreational activities.
  
  
  METHODS
  Fifty-three patients (60 feet) who had isolated arthrodesis of the first (MTP) joint using a parallel screw fixation technique were evaluated for the functional outcome after the surgery to determine the effect of the arthrodesis on the activities of daily living and on recreational sports and exercise.
  
  
  RESULTS
  Fusion was achieved in all patients; all but three stated that they would have the surgery again. Postoperative pain scores evaluated using the Visual Analogue Scale indicated effective pain relief. High levels of function were demonstrated in this group of patients.
  
  
  CONCLUSIONS
  Arthrodesis of the first MTP joint is not only a successful surgical technique for relief of pain and correction of deformity but also allows a high level of function in everyday life and in recreational activities.
authors.affiliation: The Department of Orthopaedic Surgery, Baylor University Medical Center, Dallas, Texas 75246, USA.
authors.forename: James W
authors.initials: JW
authors.lastname: Brodsky
authors.forename: Roger N
authors.initials: RN
authors.lastname: Passmore
authors.forename: Fabian E
authors.initials: FE
authors.lastname: Pollo
authors.forename: Shay
authors.initials: S
authors.lastname: Shabat
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D008875:Middle Aged; D020127:Recovery of Function; D012189:Retrospective Studies; D013177:Sports; D016896:Treatment Outcome