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First MTPJ Arthrodesis

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Evidence-Based Bunion Surgery

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Abstract

First metatarsophalangeal joint (MTPJ) arthrodesis is a well-accepted first ray procedure and is most commonly recommended for pain relief in hallux rigidus and as a salvage procedure for treatment of joint subluxation, dislocation, degenerative changes repair of hallux varus and for revision following recurrence or other complications. First MTPJ arthrodesis is also a very effective, reliable, and lasting primary procedure for hallux abducto valgus (HAV) with MTPJ arthropathy, providing excellent cosmetic and functional results and high patient satisfaction. Comparison of the outcomes for arthrodesis and implant arthroplasty favors fusion as the more durable and functional option for the arthritic first MTPJ. Additionally, the healing characteristics of the procedure make it a very patient-friendly option. This section will review and discuss the technique, outcomes, and anatomic considerations relative to utilizing first MTPJ arthrodesis as a primary procedure for the correction of HAV.

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Authors and Affiliations

  1. College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, IA, USA

    Mindi Feilmeier DPM, FACFAS & Andrea Cifaldi BS

  2. College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, Iowa, USA

    Paul D. Dayton DPM, MS, FACFAS

  3. UnityPoint Clinic, Trinity Regional Medical Center, Fort Dodge, Iowa, USA

    Paul D. Dayton DPM, MS, FACFAS

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  1. Mindi Feilmeier DPM, FACFAS
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  2. Andrea Cifaldi BS
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  3. Paul D. Dayton DPM, MS, FACFAS
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Correspondence to Mindi Feilmeier DPM, FACFAS .

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  1. College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, Iowa, USA

    Paul D. Dayton

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Feilmeier, M., Cifaldi, A., Dayton, P.D. (2018). First MTPJ Arthrodesis. In: Dayton, P. (eds) Evidence-Based Bunion Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-60315-5_14

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