This technique is reported to be technically demanding and associated with a learning curve. With the advance of the arthroscope arthroscopy of the MTP I has been performed for various indications. īoth arthroscopic assisted and percutaneous arthrodesis of the MTP I have been described in the literature. For example, the use of arthroscopic-assisted ankle arthrodesis has proven to lower complication rates and is associated with a faster recovery and shorter time of hospitalization. Its indications were extended over time starting from arthroscopy of the ankle and subtalar joints, arthroscopic assisted arthrodesis, minimally invasive tendon surgery, tendoscopy through to arthroscopy of the metatarsophalangeal joints and minimally invasive arthrodesis of the MTP I. Minimally invasive techniques and arthroscopy have been introduced to foot surgery over a decade ago. It is considered to be the gold-standard for advanced hallux rigidus with satisfactory results and low complication and revision rates reported, ,, ].ĭifferent techniques have evolved over the time and different implants used as: compression screws, plate arthrodesis and staples, ,, , ]. If non-operative management fails, arthrodesis of the MTP I is a well-established surgical option for hallux rigidus, rigido-valgus, rheumatoid arthritis, septic arthritis or revision hallux valgus surgery. For details please visit the official Apple page.Disorders of the first ray are common in foot and ankle surgery and various pathologies can lead to degeneration and stiffness of the first metatarsophalangeal joint (MTP I).
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