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Related Experiment Video

Updated: Jun 25, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

First metatarsophalangeal arthrodesis.

John W Womack1, Susan N Ishikawa

  • 1Piedmont Orthopaedic Associates, 35 International Drive, Greenville, SC 29615, USA.

Foot and Ankle Clinics
|February 24, 2009
PubMed
Summary

First metatarsophalangeal joint arthrodesis effectively treats hallux rigidus unresponsive to conservative care. Patient factors like nicotine use and comorbidities are crucial for successful surgical outcomes.

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Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Surgical Outcomes Research

Background:

  • Hallux rigidus is a degenerative condition affecting the first metatarsophalangeal joint.
  • Conservative management often fails for symptomatic hallux rigidus.
  • Arthrodesis is a definitive surgical option for end-stage joint arthritis.

Purpose of the Study:

  • To highlight the efficacy of first metatarsophalangeal joint arthrodesis.
  • To emphasize the critical role of pre-operative host factor assessment.
  • To underscore the importance of surgical technique in achieving optimal results.

Main Methods:

  • Review of current literature on first metatarsophalangeal joint arthrodesis.
  • Analysis of factors influencing surgical success in hallux rigidus.
  • Discussion of arthrodesis as a gold standard treatment.

Main Results:

  • Arthrodesis demonstrates high success rates for hallux rigidus.
  • Pre-operative evaluation of host factors (nicotine use, comorbidities, immunosuppression) is essential.
  • Meticulous surgical technique is paramount for favorable outcomes.

Conclusions:

  • First metatarsophalangeal joint arthrodesis is a reliable treatment for advanced hallux rigidus.
  • Thorough patient assessment pre-surgery improves predictability of success.
  • Attention to surgical detail is key for optimal patient recovery and joint function.

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