ArticleArchives of orthopaedic and trauma surgery2023
High complication rates following revision first metatarsophalangeal joint arthrodesis: a retrospective analysis of 79 cases.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- First metatarsophalangeal joint arthrodesis/fusion: a systematic review of modern fixation techniques.Journal of foot and ankle research · 2022Pooled it
- Multifactorial Non-union After First Metatarsophalangeal Arthrodesis Revised With Structural Iliac Crest Autograft: A Case Report and Comprehensive Literature Review.Journal of orthopaedic case reports · 2026Article
- Primary vs Revision and Salvage First Metatarsophalangeal Joint Arthrodesis: A National Database Study of Utilization, Complications, and Cost Analysis.Foot & ankle orthopaedics · 2026Article
- Metatarsophalangeal Arthrodesis: Risk Factors for Nonunion in a 10-Year Retrospective Cohort.Foot & ankle orthopaedics · 2026Article
- Revision Surgery for Failed Polyvinyl Alcohol Hydrogel Implant in the First MTP Joint: A Case Report and Comprehensive Review.Foot & ankle orthopaedics · 2025Article
- Medial Sesamoidectomy as a Local Autograft Source in Revision or Complex First Metatarsophalangeal Joint Arthrodesis.Foot & ankle orthopaedics · 2025Article
- Effect of co-morbidities on outcomes of first metatarsophalangeal joint fusion: A systematic review.Journal of orthopaedics · 2024Review
- Article
- Arthrodesis using Iliac Crest autograft in revision surgery of the first metatarsophalangeal joint total arthroplasty for the treatment of Hallux Rigidus: a retrospective study.Journal of orthopaedic surgery and research · 2024Article
- Non-Union Treatment in the Foot, Ankle, and Lower Leg: A Multicenter Retrospective Study Comparing Conventional Treatment with the Human Allogeneic Cortical Bone Screw (Shark ScrewJournal of personalized medicine · 2024Article
- Clinical and Radiologic Outcome of First Metatarsophalangeal Joint Arthrodesis Using a Human Allogeneic Cortical Bone Screw.Foot & ankle orthopaedics · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe most common indications for revision of first metatarsophalangeal joint (MTPJ) arthrodesis are symptomatic failures of prior arthrodesis, failed hallux valgus correction, and failed MTPJ arthroplasty implants. However, the outcomes of revision MTPJ arthrodesis have rarely been studied. The purpose of this study was to compare the clinical, radiographic, and patient-reported outcomes of revision MTPJ arthrodesis following different primary procedures.
methodsA retrospective review of revision MTPJ arthrodesis cases between January 2015 and December 2019 was performed. The radiographic results, patient-reported outcomes, and rates of complications, subsequent revisions, and nonunions, were analyzed and compared preoperatively and postoperatively. A multivariate analysis was utilized to determine risk factors for complications and reoperations.
resultsThis study yielded a total of 79 cases of revision MTPJ arthrodesis. The mean follow-up time was 365 days (SD ± 295). The overall complication rate was 40.5%, of which the overall nonunion rate was 19.0%. Seven cases (8.9%) required further revision surgery. The multivariate analysis revealed that Diabetes mellitus was associated with significantly higher overall complication rates (p = 0.016), and nonunion was associated with "in-situ" joint preparation techniques (p = 0.042). Visual Analog Scale (VAS) significantly improved postoperatively (p < 0.001); However, PROMIS-10 physical health and PROMIS-10 mental health did not change significantly during the study period.
conclusionTreatment of MTPJ surgery failures is a clinical challenge in orthopedic surgery. In our study, revision of first MTPJ surgery resulted in higher nonunion rates and overall complication rates compared to typical outcomes from primary MTPJ arthrodesis. Diabetes, Tobacco use, and "in-situ" joint preparation technique were found to be independent risk factors for complications and reoperations. LEVEL OF EVIDENCE: III-Retrospective Cohort Study.
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