LaCoste Ketrick L, Andrews Nicholas A, Ray Jessyca, Harrelson Whitt M, Shah Ashish
Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, USA.
Cureus. 2021 Apr 13;13(4):e14458. doi: 10.7759/cureus.14458.
First metatarsophalangeal (MTP) joint arthrodesis is a surgical procedure in which the first metatarsal head is fused to the proximal phalanx of the great toe in order to permanently stiffen the first MTP joint. It was originally proposed as a treatment for severe cases of hallux valgus deformity, but the procedure's indications and utilization have expanded since its initial development. Despite a wide variety of indications, first MTP arthrodesis has been shown to have reliable, satisfactory outcomes. As a result, the development of a wide array of surgical approaches, joint preparation techniques, and fixation devices used in the procedure has occurred. In this narrative review, we highlight the evolution of fixation constructs used in first MTP arthrodesis in order to provide a frame of reference for the various types of fixation constructs available.
第一跖趾（MTP）关节融合术是一种外科手术，其中第一跖骨头与拇趾近节趾骨融合，以使第一MTP关节永久僵硬。它最初被提议作为治疗重度拇外翻畸形的方法，但自最初发展以来，该手术的适应症和应用范围已经扩大。尽管有各种各样的适应症，但第一MTP关节融合术已被证明具有可靠、令人满意的结果。因此，该手术中使用的各种手术入路、关节准备技术和固定装置都得到了发展。在这篇叙述性综述中，我们重点介绍了第一MTP关节融合术中使用的固定结构的演变，以便为现有的各种固定结构提供一个参考框架。
