Arthrodesis of the First Metatarsophalangeal Joint

Abstract

Our experience corroborates the advantages of Memory staples as described in the literature, including good approximation of bone fragments, technically easy application with fewer steps than an AO-applied screw, and an adequate source of internal fixation to achieve metatarsophalangeal joint fusion. There is also a suggestion that the time to achieve fusion is shorter.

First Metatarsophalangeal Joint Fusion Using a Fyxis Plate

“…3 In the present study, fixation with the Fyxis plate and compression screws achieved a fusion rate of 98%. The mean time to fusion was 7.6 weeks after fixation with memory staples, 6 and 3.1 months after fixation with a dorsal plate and a compression screw. 9 In the present study, the mean time to fusion was 3.2 months.…”

“…Many different techniques and osteosynthesis implants have been used, including cross screws fixation, fixation with locking or non-locking plate and screws with or without lag screws and staples. [1][2][3][4][5][6][7] This study reports the outcome of fusion of the first MTPJ using the Fyxis plate and compression screws.…”

A Retrospective Review of the Primus First MTP Joint Double-Stemmed Silicone Implant

“…One of the contributing factors leading to the difference in the outcome scores is a wide variety of fixation alternatives for the arthrodesis site. 44,50-54 Another factor that alters the AOFAS scores is the difference in points available for range of motion. Joint replacements have a possible 100 points, whereas fused joints cannot achieve a score higher than 90 points.…”

First Metatarsophalangeal Joint Arthrodesis Using Memory Staples: Clinical and Functional Results

“…5 In a small study comparing single lag screw, lag screw with cerclage wire, and Memory staples, clinical and radiologic union time was better and rate of nonunion was reduced in the Memory staples group. 19 In our study, the union rate was 98.2% (n = 54). This included delayed healing in 3 (5.5%) cases.…”

“…Patient was asymptomatic after prolonged rehabilitation and did not need any revision surgery. The combined incidence of malunion with various fixation devices as reported in the literature 19 was as high as 6.1%.…”