First metatarsophalangeal joint arthrodesis

Area of Science:

• Orthopedic Surgery
• Podiatric Surgery
• Foot and Ankle Reconstruction

Background:

• First MTP joint arthrodesis is a well-established surgical procedure.
• It is utilized for diverse pathologies affecting the first ray segment.
• Often considered a salvage procedure, it offers benefits beyond its traditional role.

Purpose of the Study:

• To highlight the efficacy of first MTP joint arthrodesis.
• To emphasize the critical role of fusion positioning over fixation techniques.
• To underscore its value in managing hallux limitus, hallux rigidus, arthritis, and deformities.

Main Methods:

• Review of the established surgical procedure of first MTP joint arthrodesis.
• Emphasis on the principles of achieving optimal fusion position.
• Comparison with alternative procedures like joint resection and arthroplasty.

Main Results:

• First MTP joint arthrodesis provides effective management for various foot conditions.
• Achieving the correct fusion position is paramount for surgical success.
• The procedure ensures stability and propulsion during weight-bearing activities.

Conclusions:

• First MTP joint arthrodesis remains a highly effective procedure for first ray pathologies.
• Proper positioning is more critical than fixation techniques for optimal patient outcomes.
• Successful fusion can lead to good, pain-free function, demonstrating motion is not essential at the first MTP joint.