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Published on: January 24, 2018
[Arthrodesis of the first metatarsophalangeal joint using a spherical reamer and titanium compression
Łukasz Kołodziej1, Andrzej Bohatyrewicz, Tomasz Budzyński
1Katedra i Klinika Ortopedii i Traumatologii, Pomorska Akademia Medyczna w Szczecinie. lukas@hot.pl
Background:
The role of arthrodesis of the first metatarsophalangeal joint (MTP I) for the treatment of many primary foot problems or as a salvage procedure is an well accepted procedure. In this study, authors present the results of a surgical technique using spherical reaming and compression with two titanium staples in perpendicular planes to achieve fusion. Compression across arthrodesis site is achieved by difference in width between holes in drill guide and width of titanium staple.
Materials And Methods:
27 metatarsophalangeal joint arthrodeses were performed in 24 patients with different forefoot deformities. The average age of the patients was 53 years and average followup period was 28 months.
Results:
The authors obtained MTP I joint fusion in 26 treated feet within 6-12 weeks. The mean AOFAS score was 49 points preoperatively and increased to 76 points at last followup.
Conclusion:
Arthrodesis of the first metatarsophalangeal joint with spherical reaming and fixation with two titanium compression staples placed in perpendicular planes is a valuable and reproducible procedure for achieving fusion in a majority of patients.