Incidence of Nonunion Following First Metatarsophalangeal Joint Arthrodesis for Hallux Valgus Deformity: A Retrospective Analysis of Four Different Constructs

Arthrodesis of the great toe joint is a valuable procedure for hallux valgus deformities. The primary aim of this study was to determine nonunion rates of a first metatarsophalangeal joint (MTPJ) arthrodesis for bunion deformity. This was a retrospective review of 166 consecutive limbs that underwen...

Full description

Saved in:
Bibliographic Details
Published in:The Journal of foot and ankle surgery 2023-05, Vol.62 (3), p.536-542
Main Authors: Reardon, Brennan K., Leffler, Luke E., Hoffler, Hayden L., Evans, Joni K., Blazek, Cody D., Scott, Aaron T., Dial, Dekarlos M.
Format: Article
Language:English
Subjects:
arthrodesis
Arthrodesis - adverse effects
Arthrodesis - methods
Bunion
fixation
Hallux - diagnostic imaging
Hallux - surgery
Hallux Rigidus - surgery
hallux valgus
Hallux Valgus - diagnostic imaging
Hallux Valgus - surgery
Humans
Incidence
Metatarsophalangeal Joint - diagnostic imaging
Metatarsophalangeal Joint - surgery
nonunion
Radiography
Retrospective Studies
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Arthrodesis of the great toe joint is a valuable procedure for hallux valgus deformities. The primary aim of this study was to determine nonunion rates of a first metatarsophalangeal joint (MTPJ) arthrodesis for bunion deformity. This was a retrospective review of 166 consecutive limbs that underwent a first metatarsal phalangeal joint arthrodesis at Wake Forest Baptist Medical Center (WFBMC). Procedures were performed using 4 different constructs for the arthrodesis. Incidence of nonunion, intermetatarsal correction, infection, and recurrence were measured. Overall, 20 patients (12%) experienced nonunion following a first metatarsophalangeal joint arthrodesis. Eighty-seven patients (86%) of plate and screw patients achieved union while 14 (78%) of crossing screw patients achieved union. The minimum time of follow-up was 3 months and the maximum time was 15.4 months. The mean change in intermetatarsal and hallux valgus angle correction was 3.4° and 20.3°, with no statistical difference based on hardware construct or being diabetic. First metatarsophalangeal joint arthrodesis is a viable option for hallux valgus. However, the results of the present study suggest that there is a lower fusion rate of the first MTPJ using crossing screws for bunion deformities.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2022.12.010