Journal of Foot and Ankle Surgery
Volume 48, Issue 6 , Pages 653-661 , November 2009

Arthrodesis of the First Metatarsophalangeal Joint Using a Single Screw: Retrospective Analysis of 109 Feet

  • Sander Wassink, MD

      Affiliations

    • Resident, Orthopaedic Surgery, ‘Spaarne’ Hospital, Hoofddorp, The Netherlands
    • Corresponding Author InformationAddress correspondence to Sander Wassink, MD, Resident, Orthopaedic Surgery, ‘Spaarne’ Hospital, Hoofddorp, Bloemhofstraat 9 zwart, 2012 ZV Haarlem, The Netherlands.
    • ,
  • Martin van den Oever, MD

      Affiliations

    • Orthopaedic Surgeon, ‘Groene Hart’ Hospital, Gouda, The Netherlands

References 

  1. Choudhary RK, Theruvil B, Taylor GR. First metatarsophalangeal joint arthrodesis: a new technique of internal fixation by using memory compression staples. J Foot Ankle Surg. 2004;43(5):312–317
  2. Fadel GE, Rowley DI, Abboud RJ. Hallux metatarsophalangeal joint arthrodesis: various techniques. Foot. 2002;12(2):88–96
  3. Clutton HH. The treatment of hallux valgus. St Thomas Rep. 1894;22:1–12
  4. McKeever DC. Arthrodesis of the first metatarsophalangeal joint for hallux valgus, hallux rigidus, and metatarsus primus varus. J Bone Joint Surg Am. 2007;34-A:129–134
  5. Wulker N. [Arthrodesis of the metatarsophalangeal joint of the large toe.]. Orthopade. 1996;25(2):187–193
  6. Grondal L, Stark A. Fusion of the first metatarsophalangeal joint, a review of techniques and considerations: presentation of our results in 22 cases. Foot. 2005;15(2):86–90
  7. Turan I, Lindgren U. Compression-screw arthrodesis of the first metatarsophalangeal joint of the foot. Clin Orthop Relat Res (221). 1987;292–295
  8. Patil S, Chojnowski A, Albert J. A retrospective analysis of first metatarso-phalangeal joint fusions. Foot Ankle Surg. 2005;11(2):113–116
  9. Fitzgerald JA. A review of long-term results of arthrodesis of the first metatarso-phalangeal joint. J Bone Joint Surg Br. 1969;51(3):488–493
  10. Ettl V, Radke S, Gaertner M, Walther M. Arthrodesis in the treatment of hallux rigidus. Int Orthop. 2003;27(6):382–385
  11. Ivory JP, Gregg PJ. The management of the painful first metatarsophalangeal joint in the older patient: a 5-year review. Foot. 1992;2(3):162–165
  12. Santini AJA, Walker CR. First metatarsophalangeal joint fusion: a low profile plate technique. Foot Ankle Surg. 2001;7(1):15–21
  13. Sage RA, Lam AT, Taylor DT. Retrospective analysis of first metatarsal phalangeal arthrodesis. J Foot Ankle Surg. 1997;36(6):425–429
  14. Coughlin MJ, Abdo RV. Arthrodesis of the first metatarsophalangeal joint with Vitallium plate fixation. Foot Ankle Int. 1994;15(1):18–28
  15. Bouche RT, Adad JM. Arthrodesis of the first metatarsophalangeal joint in active people. Clin Podiatr Med Surg. 1996;13(3):461–484
  16. Beertema W, Draijer WF, van Os JJ, Pilot P. A retrospective analysis of surgical treatment in patients with symptomatic hallux rigidus: long-term follow-up. J Foot Ankle Surg. 2006;45(4):244–251
  17. Horton GA. Surgical treatment options in hallux rigidus. Operative Techniques in Sports Medicine. 1999;7(1):32–35
  18. Cracchiolo A, Weltmer JB, Lian G, Dalseth T, Dorey F. Arthroplasty of the first metatarsophalangeal joint with a double-stem silicone implant. Results in patients who have degenerative joint disease failure of previous operations, or rheumatoid arthritis. J Bone Joint Surg Am. 1992;74(4):552–563
  19. Granberry WM, Noble PC, Bishop JO, Tullos HS. Use of a hinged silicone prosthesis for replacement arthroplasty of the first metatarsophalangeal joint. J Bone Joint Surg Am. 1991;73(10):1453–1459
  20. Raikin SM, Ahmad J, Pour AE, Abidi N. Comparison of arthrodesis and metallic hemiarthroplasty of the hallux metatarsophalangeal joint. J Bone Joint Surg Am. 2007;89(9):1979–1985
  21. Hassan K, Poornachandra C, Walters S, Ali S. Short-term follow-up of ceramic press fit first metatarso-phalangeal joint arthroplasty. Foot. 2006;16(3):142–144
  22. Lahm A, Axt M, Reichelt A. Technical variations and long-term results of resection arthroplasty for hallux valgus. Foot Ankle Surg. 1998;4(1):27–34
  23. Luninghake F, Tillmann K, Russlies M. Biomechanical changes following surgical treatment of MTP-I-Osteoarthritis. Foot. 2002;12(3):171–181
  24. Agoropoulos Z, Efstathopoulos N, Mataliotakis J, Kokoroghiannis C, Karachalios GG, Karras K, et al. Long-term results of first metatarsophalangeal joint fusion for severe hallux valgus deformity. Foot Ankle Surg. 2001;7(1):9–13
  25. Mankey M, Mann RA. Arthrodesis of the first metatarsophalangeal joint using a dorsal plate. Paper presented at: 7th Annual Summer Meeting of the AOFAS, Boston, MA, July 27, 1991.
  26. Vinod S, Geary NPJ. Long term retrospective analysis of the first metatarsophalangeal joint arthrodesis with two crossed screws. Foot. 2001;11(4):199–204
  27. Politi J, John H, Njus G, Bennett GL, Kay DB. First metatarsal-phalangeal joint arthrodesis: a biomechanical assessment of stability. Foot Ankle Int. 2003;24(4):332–337
  28. Curtis MJ, Myerson M, Jinnah RH, Cox QG, Alexander I. Arthrodesis of the first metatarsophalangeal joint: a biomechanical study of internal fixation techniques. Foot Ankle. 1993;14(7):395–399
  29. Sharma H, Bhagat S, Deleeuw J, Denolf F. In vivo comparison of screw versus plate and screw fixation for first metatarsophalangeal arthrodesis: does augmentation of internal compression screw fixation using a semi-tubular plate shorten time to clinical and radiologic fusion of the first metatarsophalangeal joint (MTPJ)?. J Foot Ankle Surg. 2008;47(1):2–7
  30. Zafiropoulos G, Henry APJ. Comparison study of two methods of fusion of the first metatarsophalangeal joint. Foot. 1994;4:59–61

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(09)00243-9

doi: 10.1053/j.jfas.2009.05.012

Journal of Foot and Ankle Surgery
Volume 48, Issue 6 , Pages 653-661 , November 2009

Article Tools

* Image Usage & Resolution