Does arthrodesis of the first metatarsophalangeal joint correct the intermetatarsal M1M2 angle? Analysis of a continuous series of 208 arthrodeses fixed with plates

Orthopaedics & Traumatology, Surgery & Research : OTSR
F DalatJ-L Besse

Abstract

First-ray metatarsophalangeal arthrodesis is a classic surgical procedure in the treatment of severe hallux valgus, hallux rigidus, revision surgery, and inflammatory arthritis. The objective of this study was to verify if metatarsophalangeal plate arthrodesis could correct the M1M2 intermetatarsal angle. This prospective and continuous series (June 2007 to March 2011) included 208 patients (48% severe and/or arthritic hallux valgus, 18% hallux rigidus, 16% rheumatoid forefoot, 13% surgical revision of the first ray, 5% hallux varus), with a mean age of 62.4±9.9 years (range, 19-87 years). All the patients were operated on by a senior surgeon with the same technique: spherical avivement of the joint surfaces using reamers, osteosynthesis with an anatomic plate (Fyxis-Biotech™) in Ti.6Al.4 V alloy prebent to 5° with a phalangeal arm to receive an oblique metatarsophalangeal screw in compression, in addition to four 2.7-mm nonlocking dorsal screws. The full-scale preoperative and intraoperative angle measurements were taken on AP and lateral X-rays of the weightbearing foot, as related to the etiology and the severity of the preoperative metatarsus varus (M1M2<15°, M1M2 15-19°, M1M2≥20°). The statistical analysis was done using t...Continue Reading

References

Oct 1, 1979·Archives of Orthopaedic and Trauma Surgery·G von Salis-Soglio, W Thomas
Mar 1, 1983·Foot & Ankle·S A Riggs, E W Johnson
Apr 1, 1997·Foot & Ankle International·Y TournéA Charbel
Feb 21, 2006·Foot & Ankle International·John J CroninMichael M Stephens
Feb 16, 2010·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jean-Luc BesseD Laptoiu
Mar 25, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Paul DaytonRachel A Reimer

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Citations

Sep 16, 2020·International Orthopaedics·Amir Human HoveidaeiAmir Reza Vosoughi
Jan 12, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Jean-Charles GiuntaJean-Luc Besse
Aug 12, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Tenaya A WestSandeep B Patel

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