Latif Ahmed, Dhinsa Baljinder S, Lau Benjamin, Abbasian Ali
Guy's and St. Thomas' NHS Foundation Trust, Great Maze Pond, London SE1 9RT, United Kingdom.
Guy's and St. Thomas' NHS Foundation Trust, Great Maze Pond, London SE1 9RT, United Kingdom.
Foot Ankle Surg. 2019 Apr;25(2):132-136. doi: 10.1016/j.fas.2017.09.005. Epub 2017 Oct 14.
This study reports the outcome of a plating system for arthrodesis of the first metatarsophalangeal joint (1st MTPJ) that incorporates a lag compression screw within a low profile titanium plate with a predetermined contour. This is the first report of the outcomes of this implant from a non-affiliated centre.
This is a prospective cohort study of 40 consecutive primary 1st MTPJ arthrodesis procedures. The mean age of the cohort was 56 years (range, 20-74 years). The diagnosis was hallux rigidus in 31 patients and inflammatory arthropathy in 7 patients.
All patients achieved clinical union at 6 weeks and radiological union was confirmed on plain radiographs between 6-16 weeks. One case of hardware removal was reported.
The cohort achieved consistently satisfactory results with a reliable and reproducible MTPJ position and a 100% union rate. There was a low rate of hardware removal.
Level IV evidence. Prospective cohort study.
本研究报告了一种用于第一跖趾关节（第1 MTPJ）关节融合术的接骨板系统的结果，该系统在具有预定轮廓的薄型钛板内结合了拉力加压螺钉。这是来自非关联中心关于该植入物结果的首份报告。
这是一项对40例连续的原发性第1 MTPJ关节融合手术的前瞻性队列研究。该队列的平均年龄为56岁（范围20 - 74岁）。诊断为僵硬性拇趾（拇僵硬）31例，炎性关节病7例。
所有患者在6周时实现临床愈合，6 - 16周之间的X线平片证实达到放射学愈合。报告了1例取出内固定物的病例。
该队列取得了始终令人满意的结果，第1 MTPJ位置可靠且可重复，愈合率达100%。内固定物取出率低。
IV级证据。前瞻性队列研究。
