First Metatarsophalangeal Joint Arthrodesis: A Retrospective Comparison of Crossed-screws, Locking and Non-Locking Plate Fixation with Lag Screw

Document Type: ERRATUM

Authors

1 Hannover Medical School, Orthopedic Department, Hannover, Germany

2 Orthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

3 Hessing Foundation, Clinic for Foot and Ankle Surgery, Augsburg, Germany

Abstract

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.

Keywords


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.