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Revision Forefoot: Technique for Salvage After First Metatarsophalangeal Joint Arthroplasty With Arthrodesis

Jackson, Lyle MD; Roster, Brent MD; Kreulen, Christopher MD; Giza, Eric MD

Techniques in Foot & Ankle Surgery: September 2016 - Volume 15 - Issue 3 - p 119–126
doi: 10.1097/BTF.0000000000000110
Special Focus: Revision Forefoot Surgery

Failure of a first metatarsophalangeal joint arthroplasty can be a debilitating condition for the patient and a challenging condition for the treating surgeon. This technique article highlights 2 techniques: the use of a tricortical iliac crest bone block allograft and also distal tibia autograft for metatarsophalangeal joint arthrodesis and management of the bony defect.

Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

*Department of Orthopaedics, UC Davis Health System, Sacramento, CA

Missoula Bone and Joint, Missoula, MT

E.G. and C.K. have received fellowship support, research funding, and consulting fees for Arthrex Inc. (Naples, FL). The remaining authors declare no conflict of interest.

Address correspondence and reprint requests to Lyle Jackson, MD, Department of Orthopaedic Surgery, UC Davis Medical Center, 4860 Y St. Suite 3800, Sacramento, CA 95817. E-mail:

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