title: Metatarsophalangeal Fusion Techniques with First Metatarsal Bone Loss/Defects.
abstract: First metatarsophalangeal joint disorder is a common cause of chronic forefoot pain that is frequently encountered in the orthopedic clinic. Numerous surgical techniques have been described to improve patient pain and function in this regard, including prosthetic joint replacement, resection arthroplasty, and arthrodesis. When these procedures fail, surgeons can be confronted with significant first metatarsal bone loss/defects. First metatarsophalangeal joint fusion remains the gold standard, and, in the setting of significant bone loss, the use of structural bone graft must be considered in order to restore length to the first ray and the normal biomechanics of the foot.
authors: Rothman Institute for Orthopaedics, 2500 English Creek Blvd, Egg Harbor Township, NJ 08234, USA.
authors: Brian S
authors: BS
authors: Winters
authors: Department of Foot and Ankle Surgery, Thomas Jefferson University, The Rothman Institute for Orthopaedics, 1025 Walnut St, Philadelphia, PA 19107, USA.
authors: Boleslaw
authors: B
authors: Czachor
authors: Department of Foot and Ankle Surgery, Thomas Jefferson University, The Rothman Institute for Orthopaedics, 1025 Walnut St, Philadelphia, PA 19107, USA; Foot and Ankle Service, Orthopaedic Surgery, Thomas Jefferson University, The Rothman Institute for Orthopaedics, 925 Chestnut Street, Philadelphia, PA 19107, USA. Electronic address: steven.raikin@rothmaninstitute.com.
authors: Steven M
authors: SM
authors: Raikin
mesh_terms: D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000000981:diagnostic imaging; D001174:Arthrodesis / Q000379:methods*; D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000379:methods; D001862:Bone Resorption / Q000150:complications* / Q000000981:diagnostic imaging; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications / Q000000981:diagnostic imaging; D010147:Pain Measurement; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D014033:Toe Joint / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome
keywords: Arthrodesis; First metatarsal bone loss; First metatarsal defects; First metatarsophalangeal joint fusion; Revision; Surgical techniques