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Techniques for Primary and Revision First Metatarsophalangeal Joint Arthrodesis

Macias, David M. MD; Coughlin, Michael J. MD

Techniques in Foot & Ankle Surgery: September 2016 - Volume 15 - Issue 3 - p 145–154
doi: 10.1097/BTF.0000000000000120
Special Focus: Revision Forefoot Surgery
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A first metatarsophalangeal (MTP) joint arthrodesis is often used for the treatment of MTP arthritis as well as severe angular deformities. While many techniques for achieving solid arthrodesis have been used, this paper will present the senior author's technique for a standard first MTP arthrodesis. This paper will also discuss techniques for revision and salvage procedures and review the evolution of current first MTP arthrodesis techniques.

Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.

*Columbus Orthopaedic Clinic, Columbus, MS

Coughlin Foot and Ankle Clinic, Boise, ID

M.J.C. is a paid consultant for Stryker. D.M.M. declares no conflict of interest.

Address correspondence and reprint requests to David M. Macias, MD, Columbus Orthopaedic Clinic, 670 Leigh Dr., Columbus, MS 39705. E-mail: dmacias@columbusortho.com.

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