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Analysis of Fusion Rates in Patients Undergoing 1st Metatarsal Phalangeal Arthrodesis Utilizing Crossed Compression Screws with Dorsal Neutralization Plate and Early Weight Bearing

Author

Listed:
  • *Daniel Elgut
  • Zachary Beth
  • Paul Stone
  • John S Levin

    (Podiatry Department, USA)

Abstract

We reviewed 38 consecutive patients undergoing 1st Metatarsal phalangeal joint (MTP) arthrodesis using a crossed screw construct and dorsal neutralization plate fixation. Patients were allowed to weight bear as soon as 5 days postoperative, in a controlled ankle motion walker (CAM) with a first ray cut out. Our series demonstrated a 97.4% fusion rate with only one case of non-union and hardware. Our study confirms that early weight bearing in first MPT arthrodesis with crossed screw fixation and dorsal neutralization plate fixation is safe, effective and there is no significant increase in delayed or non-unions.

Suggested Citation

  • *Daniel Elgut & Zachary Beth & Paul Stone & John S Levin, 2016. "Analysis of Fusion Rates in Patients Undergoing 1st Metatarsal Phalangeal Arthrodesis Utilizing Crossed Compression Screws with Dorsal Neutralization Plate and Early Weight Bearing," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 3(4), pages 85-88, November.
    • Handle: RePEc:adp:joroaj:v:3:y:2016:i:4:p:85-88
    DOI: 10.19080/OROAJ.2016.03.555622
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