First Metatarsophalangeal Joint Arthrodesis

• Autores: Robert M. Rajczy, Patrick R. McDonald, Howard S. Shapiro, Steven F. Boc
• Localización: Clinics in Podiatric Medicine and Surgery of North America, ISSN 0891-8422, Vol. 29, Nº. 1 (ENE), 2012, págs. 41-49
• Idioma: inglés
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• Resumen

  • Arthrodesis of the first metatarsophalangeal joint (MTPJ) is used primarily for end-stage hallux rigidus whereby pain, crepitus, and limitation of motion is noted at the joint. Arthrodesis at the first MTPJ also has it uses as a primary procedure for rheumatoid arthritis when severe deformity is present, as well as for salvage procedures for failed joint arthroplasties with or without implant, fractures with intra-articular extension, avascular necrosis, and infection management. A first MTPJ arthrodesis should provide stable fixation, attain suitable positioning for a reasonable gait, maintain adequate length, and create a stable platform for a plantigrade foot type.