First Metatarsophalangeal Joint Arthrodesis: A Retrospective Comparison of Crossed-screws, Locking and Non-Locking Plate Fixation with Lag Screw | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 4، دوره 5، شماره 4، مهر 2017، صفحه 221-225 اصل مقاله (572.27 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2017.21891.1567 | ||
| نویسندگان | ||
| Leif Claassen1؛ Christian Plaass1؛ Marc-Frederic Pastor1؛ Sarah Ettinger1؛ Mathias Wellmann1؛ Christina Stukenborg-Colsman1؛ Hazibullah Waizy2؛ Sayyed-Hadi Sayyed-Hosseinian* 3 | ||
| 1Hannover Medical School, Orthopedic Department, Hannover, Germany | ||
| 2Hessing Foundation, Clinic for Foot and Ankle Surgery, Augsburg, Germany | ||
| 3Orthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| Background:Locking plate fixation is increasingly used for first metatarsophalangeal joint (MTP-I) arthrodesis. Still there is few comparable clinical data regarding this procedure. Methods:We retrospectively evaluated 60 patients who received an arthrodesis of the MTP-I between January 2008 and June 2010. With 20 patients each we performed a locking plate fixation with lag screw, arthrodesis with crossed-screwsor with a nonlocking plate with lag screw. Results: There were four non-unions in crossed-screws patients and one nonunion in non-locked plate group. All the patients in locking plate group achieved union. 90% of the patients were completely or mildly satisfied in locking plate group, whereas this rate was 80% for patients in both crossed screws and non-locking plate groups. Conclusions: Use of dorsal plating for arthrodesis of MTP1 joint either locking or non-locking were associated with high union rate and acceptable and comparable functional outcome. Although nonunion rate was high using two crossed screws but functional outcome was not significantly different compare to dorsal plating. Level of evidence:Ш, retrospective comparative study | ||
| کلیدواژهها | ||
| FIRST METATARSOPHALANGEAL JOINT ARTHRODESIS VIA LOCKING PLATE FIXATION WE DECLARE NO CONFLICT OF INTERESTS | ||
| مراجع | ||
|
1. Yee G, Lau J. Current concepts review: hallux rigidus. Foot Ankle Int. 2008; 29(6):637-46. 2. Brewster M. Does total joint replacement or arthrodesis of the first metatarsophalangeal joint yield better functional results? A systematic review of the literature. J Foot Ankle Surg. 2010; 49(6):546-52. 3. Brodsky JW, Passmore RN, Pollo FE, Shabat S. Functional outcome of arthrodesis of the first metatarsophalangeal joint using parallel screw fixation. Foot Ankle Int. 2005; 26(2):140-6. 4. Flavin R, Stephens MM. Arthrodesis of the first metatarsophalangeal joint using a dorsal titanium contoured plate. Foot Ankle Int. 2004; 25(11):783-87. 5. Kumar S, Pradhan R, Rosenfeld PF. First metatarsophalangeal arthrodesis using a dorsal plate and a compression screw. Foot Ankle Int. 2010; 31(9):797-801. 6. Faraj AA, Naraen A, Twigg P. A comparative study of wire fixation and screw fixation in arthrodesis for the correction of hallux rigidus using an in vitro biomechanical model. Foot Ankle Int. 2007; 28(1):89-91. 7. Neufeld SK, Parks BG, Naseef GS, Melamed EA, Schon LC. Arthrodesis of the first metatarsophalangeal joint: a biomechanical study comparing memory compression staples, cannulated screws, and a dorsal plate. Foot Ankle Int. 2002; 23(2):97-101. 8. Jarde O, Laya Z, Olory B, Basse G, Alovor G. Arthrodesis of the first metatarsophalangeal joint using convex and concave drills. A report on 50 cases. Acta Orthop Belg. 2005; 71(1):76-82. 9. Ellington JK, Jones CP, Cohen BE, Davis WH, Nickisch F, Anderson RB. Review of 107 hallux MTP joint arthrodesis using dome-shaped reamers and a stainless-steel dorsal plate. Foot Ankle Int. 2010; 31(5):385-90. 10. Politi J, John H, Njus G, Bennett GL, Kay DB. First metatarsal-phalangeal joint arthrodesis: a biomechanical assessment of stability. Foot Ankle Int. 2003; 24(4):332-7. 11. Wassink S, van den Oever M. Arthrodesis of the first metatarsophalangeal joint using a single screw: retrospective analysis of 109 feet. J Foot Ankle Surg. 2009; 48(6):653-61. 12. Waizy H, Czardybon MA, Stukenborg-Colsman C, Wingenfeld C, Wellmann M, Windhagen H, et al. Midand long-term results of the joint preserving therapy of hallux rigidus. Arch Orthop Trauma Surg. 2010; 130(2):165-70. 13. Hunt KJ, Barr CR, Lindsey DP, Chou LB. Locked versus nonlocked plate fixation for hallux MTP arthrodesis:a biomechanical investigation. Foot Ankle Int. 2012; 33(11):984-90. 14. Foote KM, Teasdall RD, Tanaka ML, Scott AT. First metatarsophalangeal arthrodesis: a biomechanical comparison of three fixation constructs. J Surg Orthop Adv. 2011; 21(4):223-31. 15. Hunt KJ, Ellington JK, Anderson RB, Cohen BE, Davis WH, Jones CP. Locked versus nonlocked plate fixation for hallux MTP arthrodesis. Foot Ankle Int. 2011; 32(7):704-9. 16. Doty J, Coughlin M, Hirose C, Kemp T. Hallux metatarsophalangeal joint arthrodesis with a hybrid locking plate and a plantar neutralization screw: a prospective study. Foot Ankle Int. 2013; 34(11):1535-40. 17. Mayer SA, Zelenski NA, DeOrio JK, Easley ME, Nunley JA 2nd. A comparison of nonlocking semitubular plates and precontoured locking plates for first metatarsophalangeal joint arthrodesis. Foot Ankle Int. 2014; 35(5):438-44. | ||
|
آمار تعداد مشاهده مقاله: 1,011 تعداد دریافت فایل اصل مقاله: 1,392 |
||