First metatarsophalangeal joint arthrodesis: A new technique of internal fixation by using memory compression staples

1st metatarsophalangeal joint fusion: A comparison of non-union and gender differences between locking and non-locking plating systems

“…In the non-locking Hallu-fix TM group (20), A single case (5%) underwent non-union whilst the remaining 19 united successfully. In the non-locking Charlotte TM group (76), nine plates (11.8%) developed non-union and the remaining 67 united successfully.…”

“…Commonly used methods of fixation in 1st MTPJ fusion are Kirschner wires [10,17], single [10,18] or crossed screws [11,19], staples [12,20] or plate and screw constructs [1] sometimes with an additional lag screw [1]. Variable fusion and complication rates for these methods have been reported by different authors.…”

“…Although less popular, memory staples are very low profile and have demonstrated good results. Choudhary et al reported a fusion rate of 96.7% following 30 procedures [20]. Plate and screw constructs continue to gain popularity despite their added expense [11].…”

“…Three plating systems were assessed in the study. These were the Integra Hallufix TM (20), Wright Medical Charlotte TM (76) and Stryker Memometal Anchorage TM (76) plating constructs. Each of these groups was then separated by gender (Table 1).…”

Complication rates in diabetics with first metatarsophalangeal joint arthrodesis

“…Although complications do exist with this procedure, most are considered mild or moderate and advanced surgical techniques are continually being developed to better the outcomes. Some of the various techniques for fixation include using Kirschner wires or Steinmann pins, cerclage wires, lag screws, plates, staples, and external fixators (3, 4, 9, 10, 12, 13, 16, 20, 21, 23, 28, 39, 35). All of these techniques are geared toward patient satisfaction and a successful postoperative course.…”