Effect of joint pathology, surface preparation and fixation methods on union frequency after first metatarsophalangeal joint arthrodesis: A systematic review of the English literature
| Autor: | Jitendra Mangwani, Muhammad Tawfiq Korim, Devendra Mahadevan, Arijit Ghosh |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Metatarsophalangeal Joint
030222 orthopedics Pathology medicine.medical_specialty business.industry Arthrodesis medicine.medical_treatment Nonunion Joint arthrodesis 030229 sport sciences medicine.disease Fixation method 03 medical and health sciences Hallux rigidus 0302 clinical medicine Surface preparation Hallux Rigidus medicine Chi-square test Humans Orthopedics and Sports Medicine business Joint (geology) |
| Zdroj: | Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 23(3) |
| ISSN: | 1460-9584 |
| Popis: | Background The aim of this systematic review was to perform a qualitative synthesis of the current literature to determine the union frequencies for first metatarsophalangeal joint arthrodesis as well as the influence of pathology, joint preparation and fixation methods on union. Methods MEDLINE and EMBASE were searched to identify relevant studies reporting on first metatarsophalangeal joint union frequencies. Results 26 studies with 2059 feet met our inclusion criteria. The mean age was 60 years (range 18–84) and the mean follow-up was 32.6 months (range 1.5–156). The union frequency was 93.5% (1923/2059). The union frequencies were significantly higher when low velocity joint preparation methods were used ( P P =0.002, Chi square 9.3). There were similarly high union frequencies with crossed screws, locking plate and non-locking plates. Conclusions High union frequency can be expected following first metatarsophalangeal arthrodesis, especially when low velocity joint preparation methods are used in patients with hallux rigidus. |
| Databáze: | OpenAIRE |
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