Comparison of 4 different techniques in first metatarsophalangeal joint arthrodesis

AbstractAimsThe aim of this study was to evaluate outcomes and fusion rates of 4 different methods of first metatarsophalangeal joint (MTPJ) arthrodesis.MethodsWe performed a retrospective analysis of first MTPJ fusion using Bold ® and Acutrak® compression screws, universal 1/3 tubular plate and Hallu®-S non-locking plate in 6 hospitals in Dublin over 4 years. A cohort of 300 patients (351 feet) was operated on by 3 feet and ankle fellowship trained orthopaedic surgeons (PK, MMS, JVMcK) over 4 years. Mean age was 62.4  years. There were 261 females and 39 males. One hundred three patients had a fusion of first MTPJ using two Acutrak® screws and 90 with two Bold® screws. Sixty-five were fused with the Hallu-S® plate and 42 with the universal 1/3 tubular plate. Patients were evaluated clinically and radiographica lly at 6 weeks, 3 months and 12 months.ResultsFunctional outcome scores performed using Manchester-Oxford Foot Questionnaire (MOXFQ). Failure rate in those fused with the Hallu ®-S plate was 0%, Acutrak® screws 2.4%, Bold® screws 9.5% and universal 1/3 tubular plate 12.5% (p >  0.12). All treatment groups demonstrated significantly reduced MOXFQ scores (p value  
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research

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Source: Annals of Surgical Treatment and Research - Category: Surgery Tags: Ann Surg Treat Res Source Type: research
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Source: The Physician and Sportsmedicine Online - Category: Sports Medicine Tags: Phys Sportsmed Source Type: research
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Source: Journal of Forensic Radiology and Imaging - Category: Radiology Source Type: research
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Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Hip Source Type: research
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Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Lower Extremity Source Type: research
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Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Cerebral Palsy Source Type: research
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Source: Spine - Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
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Source: Spine - Category: Orthopaedics Tags: CERVICAL SPINE Source Type: research
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Source: Spine - Category: Orthopaedics Tags: DEFORMITY Source Type: research
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