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Conversion Arthrodesis for Failed First Metatarsophalangeal Joint Hemiarthroplasty: Surgical Technique

Bercik, Michael J. MD*; Garras, David N. MD; Raikin, Steven M. MD

Techniques in Foot & Ankle Surgery: March 2013 - Volume 12 - Issue 1 - p 3–8
doi: 10.1097/BTF.0b013e318282edd8
Special Focus: Uncommon Disorders of the First Ray

Arthrodesis is currently the most commonly performed surgical procedure for the treatment of arthritis of the first metatarsophalangeal (MTP) joint. Hemiarthroplasty of the first MTP joint has been shown to result in inferior clinical results and higher revision rates. Once a hemiarthroplasty has failed, surgical options include either revision arthroplasty or conversion to first MTP joint fusion. In this article, we discuss our indications, techniques, and results of conversion to fusion, addressing pitfalls and limitations together with the need for bone grafting augmentation.

*Thomas Jefferson University Hospital

Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA

Foot and Ankle Institute, OrthoCarolina, Charlotte, NC

The authors declare no conflict of interest.

Address correspondence and reprint requests to Steven M. Raikin, MD, 1015 Walnut Street, Suite 801, Philadelphia, PA 19107. E-mail:

© 2013 Lippincott Williams & Wilkins, Inc.