Koutsouradis Panagiotis, Savvidou Olga D, Stamatis Emmanouil D
Department of Foot and Ankle Reconstructive Surgery, Mediterraneo Hospital, Athens 16675, Greece.
First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, "ATTIKON" Hospital, Athens 12462, Greece.
World J Orthop. 2021 Jul 18;12(7):485-494. doi: 10.5312/wjo.v12.i7.485.
Arthrodesis of the first metatarsophalangeal (MTP) joint has been established as the "gold standard" for the treatment of several first ray disorders, due to its perceived efficacy and the consistently reported good results in the literature. Arthrodesis is a commonly performed procedure for the treatment of end stage arthritis, rheumatoid arthritis with severe deformity, selected cases of severe hallux valgus (with or without signs of degenerative joint disease), as well as a salvage procedure after failed previous operation of the first ray. The goals of a successful 1 MTP arthrodesis are pain alleviation and deformity correction in order to restore a comfortable gait pattern and to improve shoe wear. Several techniques have been reported with several proposals regarding the preparation of the articular surfaces and the method of definitive fixation. As with any given surgical procedure, various complications may occur after arthrodesis of the 1 MTP joint, namely delayed union, nonunion, malunion, irritating hardware,
第一跖趾（MTP）关节融合术已被确立为治疗多种第一跖骨疾病的“金标准”，这归因于其公认的疗效以及文献中持续报道的良好结果。关节融合术是治疗终末期关节炎、伴有严重畸形的类风湿性关节炎、部分严重拇外翻病例（有或无退行性关节病体征）以及第一跖骨先前手术失败后的挽救手术时常用的一种手术方法。成功的第一跖趾关节融合术的目标是缓解疼痛和矫正畸形，以恢复舒适的步态模式并改善穿鞋情况。关于关节面准备和最终固定方法，已有多种技术和提议被报道。与任何特定的外科手术一样，第一跖趾关节融合术后可能会出现各种并发症，即骨愈合延迟、骨不连、畸形愈合、植入物刺激等。
