First MTP( Big Toe) Fusion


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CPD/CME Points: 1

A 1st MTP (metatarsophalangeal ) joint fusion  is a highly versatile operation both in terms of the conditions which can be treated as well as in terms of the function possible after successful fusion.

A union rate of 90% plus is recorded in most series using current techniques. Success in terms of patient satisfaction rates can be slightly lower than those of radiographic union of the fusion .

The keys to operative success are careful joint preparation , positioning and fixation.

There are various ways of fixing the fusion , most commonly  a single axial screw combined with  a dorsal neutralising or compression plate . The technique detailed in this operation is a “crossed-screws” technique which differs only in the final mode of fixation.


Author: Mark Herron FRCS

Institution: The Wellington Hospital , London




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