ABSTRACT
First metatarsalphalangeal (MTP) joint arthrodesis has been employed for decades for
pain related to arthritis and other associated abnormalities. Despite the commonality
of the procedure there continues to be questions regarding functional expectations
following the procedure especially when employed for correction of hallux valgus deformity.
We surveyed 60 patients who had a triplane MTP joint arthrodesis at mean 28.4 months
(median 27.8) regarding their activities of daily living and sports activity through
a direct conversation. Secondary endpoints assessed were return to activity, deformity
correction and arthrodesis healing rate based on chart review and weightbearing radiographs.
The primary outcomes showed robust return to all activities of daily living with 97%
able to walk without restrictions and or pain, 98% were able to walk at a normal pace
and 95% responded that loss of motion of their big toe did not affect their daily
function. Regarding return to sports all patients that participated in sports before
surgery resumed participation after with a trend toward increased sports activity.
Early return to walking in a fracture boot was noted in this cohort at mean 4.1 days,
return to athletic shoe at mean 6.3 weeks and full unrestricted activity at mean 13.3
weeks with no non-unions identified on radiographic or clinical exam. Deformity correction
of the typical components of hallux valgus deformity was similar to previously published
studies. This data set supports the hypothesis that patients undergoing first MTP
joint arthrodesis can expect rapid and full return to activities of daily living and
sports with a low complication rate.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: July 19, 2022
Footnotes
Financial Disclosure: Authors MD, PD are consultants for Treace Medical Concepts, Ponte Vedra Beach FL and/or receive royalties for intellectual property related to the Lapiplasty system..
Conflict of Interest: None reported.
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© 2022 by the American College of Foot and Ankle Surgeons. All rights reserved.
