First metatarsophalangeal joint arthrodesis.
Arthrodesis of the first metatarsophalangeal joint (MTPJ) is used primarily for end-stage hallux rigidus whereby pain, crepitus, and limitation of motion is noted at the joint. Arthrodesis at the first MTPJ also has it uses as a primary procedure for rheumatoid arthritis when severe deformity is present, as well as for salvage procedures for failed joint arthroplasties with or without implant, fractures with intra-articular extension, avascular necrosis, and infection management. A first MTPJ arthrodesis should provide stable fixation, attain suitable positioning for a reasonable gait, maintain adequate length, and create a stable platform for a plantigrade foot type.
Published In/Presented At
Rajczy, R. M., McDonald, P. R., Shapiro, H. S., & Boc, S. F. (2012). First metatarsophalangeal joint arthrodesis. Clinics in podiatric medicine and surgery, 29(1), 41–49. https://doi.org/10.1016/j.cpm.2011.11.001
Medicine and Health Sciences
Department of Surgery