Why and How Often Is Revision Surgery Necessary after First Metatarsophalangeal Joint Arthrodeses? A Cohort of 120 Consecutive Cases
Why and How Often Is Revision Surgery Necessary after First Metatarsophalangeal Joint Arthrodeses? A Cohort of 120 Consecutive Cases作者机构:Centre for Surgery of the Foot & Ankle Hirslanden Clinique La Colline Geneva Switzerland Faculty of Medicine Geneva University Geneva Switzerland
出 版 物:《Open Journal of Orthopedics》 (矫形学期刊(英文))
年 卷 期:2021年第11卷第8期
页 面:221-232页
学科分类:07[理学] 0701[理学-数学] 070101[理学-基础数学]
主 题:Metatarsophalangeal Joint Fusion MTP1 Arthrodesis MTP1 Fusion Malposition Reoperation Revision
摘 要:Background: Little is known about the rate and reasons for revision after primary Metatarsophalangeal (MTP1) arthrodesis with the latest implants. While it is commonly assumed that nonunion accounts for most reoperations, we hypothesized that malposition is the leading cause of revision. The aim of this study was to determine the rate and reasons for revision after MTP1 arthrodesis using cup- and cone-reamers and the latest locking plate technology. Method: Between 2015 and 2017, 120 consecutive MTP1 fusions in 114 patients were performed with a low profile, pre-contoured titanium dorsal locking plate and a plantar metatarsophalangeal screw. The rate and reasons for revision within a minimum one-year follow-up period (average 16 months [12-26]) after index procedures were documented span style=f