TY - JOUR ID - 9600 TI - First Metatarsophalangeal Joint Arthrodesis: A Retrospective Comparison of Crossed-screws, Locking and Non-Locking Plate Fixation with Lag Screw JO - The Archives of Bone and Joint Surgery JA - ABJS LA - en SN - 2345-4644 AU - Claassen, Leif AU - Plaass, Christian AU - Pastor, Marc-Frederic AU - Ettinger, Sarah AU - Wellmann, Mathias AU - Stukenborg-Colsman, Christina AU - Sayyed-Hosseinian, Sayyed-Hadi AU - Waizy, Hazibullah AD - Hannover Medical School, Orthopedic Department, Hannover, Germany AD - Orthopedic Research Center, Shahid Kamyab Hospital, Mashhad University of Medical Sciences, Mashhad, Iran AD - Hessing Foundation, Clinic for Foot and Ankle Surgery, Augsburg, Germany Y1 - 2017 PY - 2017 VL - 5 IS - 6 SP - 464 EP - 464 KW - Arthrodesis KW - Crossed-screws KW - First metatarsophalangeal joint KW - Hallux rigidus KW - Locking Plate DO - 10.22038/abjs.2017.9600 N2 - 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. UR - https://abjs.mums.ac.ir/article_9600.html L1 - https://abjs.mums.ac.ir/article_9600_19a4a2a9953e33137960d6e08e8ab3a5.pdf ER -