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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Mahadevan, D. Korim, M. T. Ghosh, A. Allen, P. E. Bhatia, M. Mangwani, J. |
| Description | Author Affiliation: Mahadevan D ( Leicester Orthopaedics, University Hospitals of Leicester, Leicester General Hospital, LE5 4PW, UK. Electronic address: m.deven@gmail.com.); Korim MT ( Leicester Orthopaedics, University Hospitals of Leicester, Leicester General Hospital, LE5 4PW, UK.); Ghosh A ( Leicester Orthopaedics, University Hospitals of Leicester, Leicester General Hospital, LE5 4PW, UK.); Allen PE ( Leicester Orthopaedics, University Hospitals of Leicester, Leicester General Hospital, LE5 4PW, UK.); Bhatia M ( Leicester Orthopaedics, University Hospitals of Leicester, Leicester General Hospital, LE5 4PW, UK.); Mangwani J ( Leicester Orthopaedics, University Hospitals of Leicester, Leicester General Hospital, LE5 4PW, UK.) |
| Abstract | BACKGROUND: The purpose of this study was to investigate the influence of joint configuration and preparation on first metatarsophalangeal (MTPJ) union rates. METHODS: We performed a retrospective analysis of first MTPJ arthrodeses undertaken in our institution. Clinical notes, radiographs and postal questionnaires were used to determine outcome. RESULTS: Two hundred first MTPJ arthrodeses (172 patients) were included in the analysis (34 male: 138 female; mean age 62 yr). The overall union rate was 93.5%. Union was achieved in 109/118 MTPJs (92.4%) prepared in the flat-on-flat configuration and in 78/82 (95%) prepared in the ball-and-socket configuration (p=0.438). Higher union rates favoured low-velocity joint preparation [using rongeur only 21/21 (100%), rongeur and burr 26/27 (96.3%) and conical reamer 31/34 (91.2%)] but this did not reach statistical significance (p=0.317). There was a 95% satisfaction rate with surgery but male patients were less satisfied (p=0.031). CONCLUSION: Union rates were not influenced by joint configuration or preparation techniques. |
| File Format | HTM / HTML |
| ISSN | 12687731 |
| Issue Number | 2 |
| Volume Number | 21 |
| e-ISSN | 14609584 |
| Journal | Foot and Ankle Surgery |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2015-06-01 |
| Publisher Place | France |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Orthopedics Arthritis Surgery Arthrodesis Methods Hallux Rigidus Hallux Valgus Aged Female Hallux Humans Male Metatarsophalangeal Joint Middle Aged Retrospective Studies Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine |
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