First metatarsophalangeal joint arthrodesis – Do joint configuration and preparation technique matter?

Mahadevan, Dev; Korim, M.T.; Ghosh, Arijit; Allen, Patricia; Bhatia, Maneesh; Mangwani, Jitendra

doi:10.1016/j.fas.2014.10.002

Cited by 15 publications

(12 citation statements)

References 21 publications

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“…Ellington et al 29 reported union rate was 87.9%, although it increased up to 93.1% when excluding patients with rheumatoid arthritis. Similarly, the consolidation of Korim and Allen 30 was 91.8% and Mahadevan et al 31 noted 91.2%. Chraim et al 32 obtained fusion rates of 93% with a DFA of 21°.…”

Section: Discussionmentioning

confidence: 87%

Do Postoperative Hallux Angles Correlate With Outcome in MP1 Fusion? Our Experience With 71 Cases

Paredes-Carnero

Fernández-Cebrián

Villardefrancos-Gil

2018

Foot & Ankle Specialist

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Section: Discussionmentioning

confidence: 87%

Do Postoperative Hallux Angles Correlate With Outcome in MP1 Fusion? Our Experience With 71 Cases

Paredes-Carnero

Fernández-Cebrián

Villardefrancos-Gil

2018

Foot & Ankle Specialist

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“…There are two different techniques for joint preparation (ball and socket or flat surfaces) and numerous fixation options using plates, screws, wires, or staples. An important component for achieving walking biomechanical conditions is fusion of the joint with a slight valgus (up to 15°) and minimal dorsal flexion (20°-25°) [41,42].…”

Section: First Metatarsophalangeal Joint Arthrodesismentioning

confidence: 99%

Review of current hallux valgus management options

Nica

Creţu

Ene

et al. 2019

Romanian Journal of Orthopaedic Surgery and Traumatology

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Hallux valgus is one of the most common forefoot pathologies, with a multifactorial etiology that causes important functional impairment and metatarsalgia. The characteristic deformity originates from a biomechanical imbalance induced by the disruption of first metatarsophalangeal joint alignment and manifests as an abnormal weight transfer on the first ray during walking. Conservative treatment is unable to correct the deformity or stop the evolution of the disease but can distinctly control the symptoms. With time, a myriad of surgical correction techniques have been developed but no definitive surgical treatment algorithm has been generally accepted. Nonetheless, the decision process for choosing the suitable technique must be completed on an individual basis after considering the deformity severity stratification, status of the metatarsophalangeal and tarsometatarsal joints, bone anatomy, and associated comorbidities. In spite of a large variety of surgical options, there are a few main strategies that incorporate these variations: metatarsophalangeal and/or tarsometatarsal joint fusion, metatarsal osteotomies and soft tissue procedures. Nowadays, the surgical management of hallux valgus is dominated by first metatarsal osteotomies performed through open surgery or minimally invasive techniques. Hallux valgus angle has been found to be the single most important parameter for surgical outcome prognostic.

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“…42,43,45 Mahadevan et al investigated the influence of joint preparation and fixation technique. 41 They compared flat-on-flat versus ball-on-socket arthrodesis using fixation with either crossed compression screws or a combined dorsal plate and oblique compression screw. Joint surface preparation and fixation did not statistically influence the outcome in first MTP joint arthrodesis, but there was a trend towards higher union rates with low velocity bone surface preparation.…”

Section: Operative Treatmentmentioning

confidence: 99%

Treatment of hallux valgus deformity

et al. 2016

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Hallux valgus deformity is a very common pathological condition which commonly produces painful disability. It is characterised as a combined deformity with a malpositioning of the first metatarsophalangeal joint caused by a lateral deviation of the great toe and a medial deviation of the first metatarsal bone.Taking the patient’s history and a thorough physical examination are important steps. Anteroposterior and lateral weight-bearing radiographs of the entire foot are crucial for adequate assessment in the treatment of hallux valgus.Non-operative treatment of the hallux valgus cannot correct the deformity. However, insoles and physiotherapy in combination with good footwear can help to control the symptoms.There are many operative techniques for hallux valgus correction. The decision on which surgical technique is used depends on the degree of deformity, the extent of degenerative changes of the first metatarsophalangeal joint and the shape and size of the metatarsal bone and phalangeal deviation. The role of stability of the first tarsometatarsal joint is controversial.Surgical techniques include the modified McBride procedure, distal metatarsal osteotomies, metatarsal shaft osteotomies, the Akin osteotomy, proximal metatarsal osteotomies, the modified Lapidus fusion and the hallux joint fusion. Recently, minimally invasive percutaneous techniques have gained importance and are currently being evaluated more scientifically.Hallux valgus correction is followed by corrective dressings of the great toe post-operatively. Depending on the procedure, partial or full weight-bearing in a post-operative shoe or cast immobilisation is advised. Post-operative radiographs are taken in regular intervals until osseous healing is achieved.Cite this article: Fraissler L, Konrads C, Hoberg M, Rudert M, Walcher M. Treatment of hallux valgus deformity. EFORT Open Rev 2016;1:295-302. DOI: 10.1302/2058-5241.1.000005.

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First metatarsophalangeal joint arthrodesis – Do joint configuration and preparation technique matter?

Cited by 15 publications

References 21 publications

Do Postoperative Hallux Angles Correlate With Outcome in MP1 Fusion? Our Experience With 71 Cases

Do Postoperative Hallux Angles Correlate With Outcome in MP1 Fusion? Our Experience With 71 Cases

Review of current hallux valgus management options

Treatment of hallux valgus deformity

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