1st MTP Arthroscopy (Big toe)
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An MTP arthroscopy is a straight-forward operation to perform though with no absolute indications as open surgery is also an appropriate alternative for all conditions that can be treated by arthroscopy.
The conditions most commonly dealt with are mild or moderate arthritic change, post-traumatic joint pain, osteochondral or chondral defects, loose bodies and synovitis.
The advantage of big toe arthroscopy is that it results in potentially less pain and an earlier mobilisation (both generally and specifically of the joint) following surgery. This is due to the smaller soft tissue exposure used in comparison to an open technique. Evidence on any greater effect in terms of the outcome of conditions treated is lacking.
Author: Mark Herron FRCS
Institution: The Wellington Hospital , London