title: First metatarsophalangeal joint arthrodesis; what is the best fixation option? A critical review of the literature.
abstract: First metatarsophalangeal joint arthrodesis can be accomplished using many forms of fixation. Distinguishing the best fixation construct requires evaluation of many variables. A review of the literature provides a starting point for what needs to be assessed and what questions need to be asked. In vivo and in vitro studies attempt to provide answers but frequently reveal shortcomings in the evidence to date. In the end, there is always 1 best fixation technique.
authors.affiliation: jtread6692@aol.com
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Treadwell
mesh_terms: D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D020859:Hallux Rigidus / Q000473:pathology / Q000601:surgery; D006215:Hallux Valgus / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000473:pathology / Q000601:surgery*; D010147:Pain Measurement; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D018570:Risk Assessment; D013314:Stress, Mechanical; D016896:Treatment Outcome; D016474:Weight-Bearing
keywords: Arthrodesis; First metatarsophalangeal joint; Fusion