title: First metatarsophalangeal joint arthrodesis.
abstract: Arthrodesis of the first metatarsophalangeal joint (MTPJ) is used primarily for end-stage hallux rigidus whereby pain, crepitus, and limitation of motion is noted at the joint. Arthrodesis at the first MTPJ also has it uses as a primary procedure for rheumatoid arthritis when severe deformity is present, as well as for salvage procedures for failed joint arthroplasties with or without implant, fractures with intra-articular extension, avascular necrosis, and infection management. A first MTPJ arthrodesis should provide stable fixation, attain suitable positioning for a reasonable gait, maintain adequate length, and create a stable platform for a plantigrade foot type.
authors.affiliation: Hahnemann University Hospital, Philadelphia, PA, USA.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Rajczy
authors.forename: Patrick R
authors.initials: PR
authors.lastname: McDonald
authors.forename: Howard S
authors.initials: HS
authors.lastname: Shapiro
authors.forename: Steven F
authors.initials: SF
authors.lastname: Boc
mesh_terms: D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D006214:Hallux / Q000601:surgery*; D020857:Hallux Limitus / Q000601:surgery; D020859:Hallux Rigidus / Q000601:surgery; D006801:Humans; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D016879:Salvage Therapy