First metatarsophalangeal joint arthrodesis with two orthogonal two hole plates

Autor: Muhammad Ali Fazal, Jason Hol-Ming Wong, Luthfur Rahman
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Acta Orthopaedica et Traumatologica Turcica, Vol 52, Iss 5, Pp 363-366 (2018)
Druh dokumentu: article
ISSN: 1017-995X
DOI: 10.1016/j.aott.2018.06.008
Popis: Objective: First MTP joint fusion is a reliable procedure for advanced arthritis for the first MTP joint. There are many techniques described. The purpose of our study is to report clinical, radiological, functional outcomes and complications of first metatarsophalangeal joint fusion with hand preparation of the joint and fixation with two orthogonal locking plates without a compression screw. Methods: 32 feet in 26 consecutive patients under went first metatarsophalangeal joint fusion with above technique. There were 23 women and 3 men. Mean age was 64 years and mean follow-up was 49 months. 21 patients had osteoarthritis, 10 had rheumatoid arthritis and one had psoriatic arthritis. Clinical, radiological, American Orthopaedic Foot and Ankle Score and Foot and Ankle Disability Index clinical rating scales were used for evaluation. Results: Fusion was achieved in 27 feet. The incidence of radiological non-union was 15.7%. Mean AOFAS score improved from 37.1 to 80.7 (p
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