Technical considerations in hallux metatarsalphalangeal arthrodesis

Area of Science:

• Orthopedic surgery
• Podiatric medicine
• Surgical techniques

Background:

• First metatarsalphalangeal (MTP) joint arthritis causes significant pain and functional limitation.
• Arthrodesis (joint fusion) is a primary surgical option for managing severe MTP joint pathology.
• Numerous surgical approaches and fixation methods exist for MTP arthrodesis.

Purpose of the Study:

• To review current metatarsalphalangeal (MTP) arthrodesis techniques.
• To discuss factors influencing surgical decision-making for MTP joint salvage.
• To present the author's personal experience and insights into MTP arthrodesis.

Main Methods:

• Literature review of MTP arthrodesis techniques.
• Analysis of clinical presentation and host factors.
• Case series presentation of author's surgical experience.

Main Results:

• MTP arthrodesis is a reliable procedure for MTP joint arthritis.
• Technique selection is guided by patient-specific factors.
• Author reports successful outcomes with their preferred approach.

Conclusions:

• Metatarsalphalangeal (MTP) arthrodesis is the gold standard for painful first MTP joint conditions.
• Tailoring the surgical technique to individual patient needs is crucial for optimal results.
• Personal experience highlights the efficacy and versatility of MTP arthrodesis.