Abstract
A retrospective observational study was performed to determine if early ambulation
compromised healing in patients who underwent primary first metatarsophalangeal joint
arthrodesis. The records of 42 patients undergoing 47 fusions were evaluated to determine
time to radiographic union, time to clinical union, and return to regular shoes. Results
showed that patients achieved clinical healing at an average of 5.6 weeks, and showed
distinct signs of radiographic union at an average 6.1 weeks. The mean time for return
to athletic shoes was 6.23 weeks. The patient population reviewed had a 100% radiographic
and clinical union rate. These results reinforce the idea that early ambulation is
a viable option in patients undergoing primary first metatarsophalangeal joint arthrodesis.
Keywords
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© 2004 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
