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  • Title: First metatarsophalangeal joint arthrodesis.
    Author: Rajczy RM, McDonald PR, Shapiro HS, Boc SF.
    Journal: Clin Podiatr Med Surg; 2012 Jan; 29(1):41-9. PubMed ID: 22243568.
    Abstract:
    Arthrodesis of the first metatarsophalangeal joint (MTPJ) is used primarily for end-stage hallux rigidus whereby pain, crepitus, and limitation of motion is noted at the joint. Arthrodesis at the first MTPJ also has it uses as a primary procedure for rheumatoid arthritis when severe deformity is present, as well as for salvage procedures for failed joint arthroplasties with or without implant, fractures with intra-articular extension, avascular necrosis, and infection management. A first MTPJ arthrodesis should provide stable fixation, attain suitable positioning for a reasonable gait, maintain adequate length, and create a stable platform for a plantigrade foot type.
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