Fusion of the Second Metatarsocuneiform Joint for the Painful Osteoarthrosis

Abstract

Fusion of the second MCJ is a moderately effective treatment for osteoarthrosis of the joint. In this series of patients, 74% were pain-free and nonunion was the most serious complication encountered, no patient was made worse by surgery.

RETRACTED: Comparison of Screws to Plate-and-Screw Constructs for Midfoot Arthrodesis

“…Later, Kilmartin et al provided a second TMTJ fusion for 23 patients with a dorsal 2.7 mm plate-and-screws. 16 While they observed significant improvements in patient foot function, they reported an incidence of bony nonunion at the fusion site as 13%. Later, Filippi et al performed midfoot fusions with plates-andscrews in 72 patients and reported a lower nonunion rate of 6.9%.…”

“…23,30 Patients with large areas of bone loss at their affected TMTJs were excluded from this investigation as these individuals require structural bone graft and typically need plate-andscrews for their arthrodesis. 16 To minimize confounding factors with postoperative wound complications, patients with prior surgery to their midfoot were also excluded. In addition, patients with lateral column midfoot arthritis that necessitated surgical treatment through a separate incision at the time of surgery were excluded (Table 1).…”

“…Initial studies where investigators used plate-and-screws for midfoot fusion were promising, where many patients achieved improved foot function and pain. 14,16,32 Combined with more recent studies, nonunion rates of midfoot arthrodeses with plate-andscrews ranged from 0% to 13%. 8,13 Although this incidence of nonunion falls into the same range of values when using screws for arthrodesis, it is important to recognize that the above literature regarding plate-and-screws for midfoot fusion are retrospective and noncomparative.…”