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Updated: Sep 28, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
High Utility of the 1st Metatarsal Phalangeal Joint Fusion
Mark A Prissel1, Roberto Brandão2, Michael D Dujela3
1Orthopedic Foot and Ankle Center, 350 W Wilson Bridge Road, Suite 200, Worthington, OH 43085, USA.
Abstract:
Fusion of the first metatarsophalangeal joint has been used by foot and ankle surgeons as a reproducible and useful means of treating end-stage arthritis of the great toe. However, the overall utility and successful outcomes of this procedure have led to its incorporation into the treatment of more significant bunion deformities, reconstruction forefoot, and salvage procedures. The authors review surgical fixation methods, offer insightful technical pearls for challenging cases and share examples of complex reconstructive and salvage procedures.
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