Forty-seven patients (58 feet) underwent first metatarsophalangeal joint fusion with a small Vitallium plate (Howmedica, Inc., Rutherford, NJ). Congruous joint surfaces were prepared with either cone-shaped or cup-shaped reamers. At an average follow-up of 19.2 months, 98% (57 feet) were successfully fused. Ninety-three percent (54 feet) noted good or excellent results. Plate removal was necessary in only 7% (4 feet) of cases. Complications included nonunion with plate breakage in 2% (1 foot) and delayed union in 2% (1 foot) of cases. This technique was useful and predictable in achieving successful fusion of the first metatarsophalangeal joint.
Get full access to this article
View all access options for this article.
References
1.
. BeauchampC.G.KirbyT.RudgeS.WorthingtonB.S.NelsonJ.: Fusion of the first metatarsophalangeal joint in forefoot arthroplasty. Clin. Orthop., (190:): (pp.249–253), (1984.)
2.
. EensonG.M.JohnsonE.W.: Management of the foot in rheumatoid arthritis. Orthop. Clin. North Am., (2) (3): (pp.733–744), (1971.)
3.
. BingoldA.C.: Arthrodesis of the great toe. Proc. R. Soc. Med., (51): (pp.435–437), (1958.)
4.
. ChanaG.S.AndrewT.A.ConerillC.P.: A simple method of arthrodesis of the first metatarsophalangeal joint. J. Bone Joint Surg., (156B): (pp.703–705), (1984.)
5.
. CoughlinM.J.: Arthrodesis of the first metatarsophalangeal joint with mini-fragment plate fixation. Orthop. Rev., (17) (2): (pp.177–186), (1990.)
6.
. CoughllnM.J.: Arthrodesis of the first metatarsophalangeal joint with mini-fragment plate fixation. Orthopaedics, (13) (9): (pp.1037–1044), (1990.)
7.
. CoughlinM.J.MannR.A.: Arthrodesis of he first metatarsophalangeal joint as salvage for the failed Keller procedure. J. Bone Joint Surg., (69A): M-75, (1987.)
8.
. FitzgeraldJ.A.W.: A review of long-term results of arthrodesis of the first metatarsophalangeal joint. J. Bone Joint Surg., (51B): (pp.488–493), (1969.)
9.
. FltzgeraldJ.A.W.WllkinsonJ.M.: Arthrodesis of the metatarsophalangeal joint of the great toe. Clin. Orthop., (157): (pp.70–77), (1981.)
10.
. GimpleK.AnspacherJ.C.KoptaJ.A.: Metatarsophalangeal joint fusion of the great toe. Orthopedics, (1(6)): (pp.462–467), (1978.)
11.
. GinsburgA.: Arthrodesis of the first metatarsophalangeal joint. J. Am. Podiatr. Assoc., (69): (pp.367–369), (1979.,)
12.
. HarrisonM.H.M.HanreyF.J.: Arthrodesis of the first metatarsophalangeal joint for hallux valgus and hallux rigidus. J. Bone Joint Surg., (45A): (pp.471–480), (1963.)
13.
. HenryA.P.J/, and UghW.: The use of footprints in assessing the results of operations for hallux valgus. A comparison of Keller's operation and arthrodesis. J. Bone Joint Surg., (57B): (pp.478–481), (1975.
14.
. JohanssonJ.E.BarringtonT.W.: Cone arthrodesis of the first metatarsophalangeal joint. Foot Ankle, (4) (5): (pp.244–248), (1984.
15.
. LipscombP.R.: Arthrodesis of the first metatarsophalangeal joint for severe bunions and hallux rigidus. Clin. Orthop., (142): (pp.48–54), (1979)
16.
. MankeyM.MannR.A.: Arthrodesis of the first metatarsophalangeal joint using a dorsal plate. Presented at the 7th Annual Summer Meeting of the AOFAS, July 27, (1991,) Boston.
17.
. MannR.A.CoughlinM.J.: The rheumatoid foot. Review of literature and method of treatment. Orthop. Rev., (8:) (pp.105–112), (1979.)
18.
. MannR.A.KatcherianD.A.: The relationship of metatarsophalangeal joint fusion on the intermetatarsal angle. Presented at the 4th Annual Summer Meeting of the AOFAS, July 22, (1988,) Minneapolis.
19.
. MannR.A.OatesJ.C.: Arthrodesis of the first metatarsophalangeal joint. Foot Ankle, (1:): (pp.159–166), (1980.)
20.
. MannR.A.ThompsonF.M.: Arthrodesis of the first metatarsophalangeal joint for hallux valgus in rheumatoid arthritis. J. Bone Joint Surg., (66A:): (pp.687–692,) (1984.)
21.
. MarinG.A.: Arthrodesis of the metatarsophalangeal joint of the big toe for hallux valgus and hallux rigidus. Int. Surg., (50:): (pp.175–180,) (1968.
22.
. McKeeverD.C.: Arthrodesis of the first metatarsophalangeal for hallux valgus, hallux rigidus, and metatarsus primus varus. J. Bone Joint Surg., (34A:): (pp.l29–134,) (1952.)
23.
. MoynihanF.J.: Arthrodesis of the metatarsophalangeal joint of the great toe. J. Bone Joint Surg., (49B:): (pp.544–551), (1967.)
24.
. RaymakersR.WaughN.C.: The treatme of metatarsalgia with hallux valgus. J. Bone Joint Surg., (53B:): (pp.684–687,) (1971.)
25.
. RiggsS.A.JohnsonE.W.: McKeever arthrodesis for the painful hallux. Foot Ankle, (3(5):): (pp.248–253,) (1983.)
26.
. Salls-SoglioG.V.ThomasW.: Arthrodesis of the metatarsophalangeal joint of the great toe. Arch. Orthop. Trauma Surg., (95:): (pp.,7–12), (1979.)
27.
. SmithN.R.: Hallux valgus and rigiius treated by arthrodesis of the first metatarsophalangeal joint. Br. Med. J., (2): (pp.1385–1387), (1952.)
28.
. ThompsonF.P.McElvennyR.T.: Arthrodesis of the metatarsophalangeal joint. J. Bone Joint Surg., (22) (3): (pp.555–558), (1940.)
29.
. TupmanS.: Arthrodesis of the first metatarsophalangeal joint. J. Bone Joint Surg., (40B): 826, (1958.)
30.
. TuranI.UndgrenU.: Compression-screw arthrodesis of the first rnetatarsophalangeal joint of the foot. Clin. Orthop., (221): (pp.292–295), (1987.)
31.
. WilkinsonJ.: Cone arthrodesis of the first metatarsophalangeal joint. Acta Orthop. Scand., (49:): (pp.627–630), (1978.)
32.
. WilsonC.L.: A method of fusion of the metatarsophalangeal joint of the great toe. J. Bone Joint Surg., (40B:): (pp.384–385), (1958.)
33.
. WilsonJ.N.: Cone arthrodesis of the first metatarsophalange joint. J. Bone joint Surg., (49B): (pp. 98–101), (1967.)
34.
. ZadikF.R.: Arthrodesis of the great toe. Br. Med. J., (2): (pp.1573–1574), (1960.)
