Advertisement

1st MTP Fusion: Primary and Revision

  • William T. DeCarbo
  • Michael D. Dujela
Chapter

Abstract

1st metatarsophalangeal joint fusion is a time-tested procedure that remains the gold standard for surgical treatment on end-stage 1st metatarsophalangeal joint arthritis. When conservative treatment fails, surgical intervention is often necessary. In this chapter the authors detail the surgical technique to get reproducible results. Revision surgery, which at times presents unique challenges, is also discussed.

Keywords

1st metatarsophalangeal degenerative joint disease 1st metatarsophalangeal joint fusion Hallux limitus Hallux rigidus 1st MTP 

References

  1. 1.
    Brodsky JW, Baum BS. Prospective gait analysis in patients with first metatarsophalangeal joint arthrodesis for hallux rigidus. Foot Ankle Int. 2007;28(2):162–5.CrossRefGoogle Scholar
  2. 2.
    Goucher NR, Coughlin MJ. Hallux metatarsophalangeal joint arthrodesis using dome-shaped reamers and dorsal plate fixation: a prospective study. Foot Ankle Int. 2006;27(11):869–76.CrossRefGoogle Scholar
  3. 3.
    Hattrup SJ, Johnson KA. Subjective results of hallux rigidus following treatment with cheilectomy. Clin Orthop Relat Res. 1988;(226):182–91.Google Scholar
  4. 4.
    Coughlin MJ, Shurnas PJ. Soft-tissue arthroplasty for hallux rigidus. Foot Ankle Int. 2003;24(9):661–72.CrossRefGoogle Scholar
  5. 5.
    Berlet GC, Hyer CF, Glover JP. Retrospective review of immediate weightbearing after first metatarsophalangeal joint arthrodesis. Foot Ankle Spec. 2008;1(1):24–8.CrossRefGoogle Scholar
  6. 6.
    McKean RM, Bergin PF, Watson G, et al. Radiographic evaluation of intermetatarsal angle correction following first MTP joint arthrodesis for severe hallux valgus. Foot Ankle Int. 2016;37(11):1183–6.CrossRefGoogle Scholar
  7. 7.
    Roukis TS. Nonunion after arthrodesis of the first metatarsal-phalangeal joint: a systematic review. J Foot Ankle Surg. 2011;50(6):710–3.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • William T. DeCarbo
    • 1
  • Michael D. Dujela
    • 2
  1. 1.St. Clair Hospital, Department of Podiatric SurgeryPittsburghUSA
  2. 2.Washington Orthopaedic CenterCentraliaUSA

Personalised recommendations