First Metatarsophalangeal Arthrodesis for Severe Bone Loss

• Autores: Reinhard Schuh, Hans-Joerg Trnka
• Localización: Foot and Ankle Clinics, ISSN 1083-7515, Vol. 16, Nº. 1 (MAR), 2011, págs. 13-20
• Idioma: inglés
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• Resumen

  • Severe bone loss of the first metatarsal is a significant problem in revisional surgery of the first metatarsophalangeal joint either after failed hallux valgus surgery or failed primary arthrodesis. A short first ray leads to pathologic biomechanics of the forefoot, which is treated with interpositional bone block arthrodesis. A ball-in-socket preparation performed with cup-in-cone reamers is the preferred method for modeling of the bone block. An autologous iliac crest bone graft reveals good results by bony integration. Bone block arthrodesis represents a feasible treatment for severe bone loss, leading to good clinical results at midterm follow-up.