title: Metatarsophalangeal Joint Fusion: Why and How?
abstract: First metatarsophalangeal (MTP) joint fusion aims at elimination of pain resulting from end-stage arthritis and obtaining a stable, plantigrade first toe. Associated deformities are corrected and greater defects are filled with interposition autograft or allograft. Fusion is generally obtained with screws, staples, and/or low-profile plates. Complications include infection, osteonecrosis, implant protrusion or failure, nonunion, and malunion, the latter 2 each occurring in approximately 6% of cases. The medium-term results of first MTP joint fusion indicate mostly good functional results with success rates of approximately 90%.
authors: Foot & Ankle section, University Center of Orthopaedics and Traumatology, University Hospital Carl Gustav Carus Dresden, Fetscherstrasse 74, Dresden 01307, Germany. Electronic address: stefan.rammelt@uniklinikum-dresden.de.
authors: Stefan
authors: S
authors: Rammelt
authors: Foot & Ankle section, University Center of Orthopaedics and Traumatology, University Hospital Carl Gustav Carus Dresden, Fetscherstrasse 74, Dresden 01307, Germany.
authors: Ines
authors: I
authors: Panzner
authors: Department of Trauma and Reconstructive Surgery, Center of Surgery, University Hospital Rostock, Schillingallee 35, Rostock 18057, Germany.
authors: Thomas
authors: T
authors: Mittlmeier
mesh_terms: D000368:Aged; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D020859:Hallux Rigidus / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D010147:Pain Measurement; D056888:Patient Positioning; D018579:Patient Selection; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Arthritis; Arthrodesis; Deformity; Hallux rigidus; Metatarsophalangeal joint; Nonunion