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First Metatarsophalangeal Joint Arthrodesis

March 01, 2020

Contributors: Jason Tyler Bariteau, MD, FAAOS; Ian Clapp, MS; Kevin Xavier Farley, BA; Matthew Lunati, MD; Jacob Michael Wilson, MD

Keywords: Arthrodesis

Symptomatic hallux valgus is one of the most common conditions managed by foot and ankle specialists. First metatarsophalangeal joint arthrodesis is a reliable treatment option for geriatric patients with concurrent degenerative changes. Prior studies on first metatarsophalangeal joint arthrodesis have reported fusion rates ranging from 70% to 100%. This video presents our technique, which involves the use of a metatarsophalangeal fusion plate and a partially threaded screw for joint compression. We have achieved successful outcomes using this technique, with a revision rate of 5.6% and statistically improved visual analog pain scores.

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