First Metatarsophalangeal Arthrodesis for the Failed Hallux.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 36368794.
- Also identified by DOI 10.1016/j.fcl.2022.07.001.
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Abstract
Hallux metatarsophalangeal joint (MTPJ) arthrodesis was first described in 1894 by Clutton, who recommended ankylosing the MTPJ to treat painful hallux valgus (HV). He used ivory pegs to stabilize the MTP joint. Surgeons over the last century have modified the procedure and added indications, including hallux rigidus, rheumatoid arthritis, and revision of failed surgeries. This article addresses many common yet challenging clinical scenarios, and a few hot topics, related to hallux MTPJ arthrodesis, including matarsus primus elevatus, severe hallux valgus, avascular necrosis, and infections. The article provides a condensed evidence-based discussion on how to manage these challenges using MTPJ arthrodesis.
Medical subject headings
- Hallux
- Hallux Valgus
- Hallux Rigidus
- Metatarsophalangeal Joint
Anatomy
- foot