A Prospective Evaluation of First Metatarsophalangeal Fusion Using an Innovative Dorsal Compression Plating System

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery

Background:

• First metatarsophalangeal joint (MTPJ) fusion is a common procedure.
• Various surgical techniques exist for MTPJ fusion.

Purpose of the Study:

• To prospectively evaluate an innovative cross-plate compression screw system for first MTPJ fusion.
• To assess the safety, efficacy, and patient outcomes of this novel plating system.

Main Methods:

• Prospective evaluation of 30 consecutive first MTPJ fusions in 28 patients.
• Procedures performed by a single fellowship-trained foot and ankle surgeon.
• Patient function assessed using the Manchester-Oxford Foot Questionnaire (MOXFQ) preoperatively and at 6 and 12 months postoperatively.

Main Results:

• All 30 cases achieved clinical and radiological union by 6 months.
• Significant improvement in MOXFQ scores for pain, walking/standing, social interactions, and combined scores (p ≤.0001).
• Low complication rate: 1 superficial infection (3%) and 1 plate removal (3%) for soft tissue irritation; no plate failures.

Conclusions:

• The cross-plate compression plating system is a safe and effective option for first MTPJ fusion.
• The system demonstrates reliable union, high patient satisfaction, and a low complication profile.
• Further prospective comparative studies are needed to establish the optimal MTPJ fusion technique.