title: Technique and pearls in performing the first metatarsal phalangeal joint arthrodesis.
abstract: When there is a considerable loss of first metatarsal phalangeal joint (MTPJ) motion and/or ankylosis is apparent then a joint preservation procedure may not be feasible. For end-stage degenerative change within the MTPJ, nonreducible joint incongruity, or instability of the first MTPJ, an arthrodesis can provide the most predictable and, arguably, the most definitive correction of the deformity, especially in patients with higher functional demands. This article discusses principles of techniques with an emphasis on the procedure to prepare a successful arthrodesis, and expounds on technical nuances including those associated with fixation devices.
authors.affiliation: Cleveland Clinic Foundation- Kaiser Permanente Podiatric Surgical Residency Program, 10 Severence Circle, Cleveland Heights, OH 44070, USA. mjudgemolly@netscape.net
authors.forename: Molly
authors.initials: M
authors.lastname: Schnirring-Judge
mesh_terms: D000844:Ankylosis / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods; D020857:Hallux Limitus / Q000601:surgery; D006215:Hallux Valgus / Q000601:surgery; D006801:Humans; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D009984:Orthopedic Fixation Devices; D012086:Reoperation