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Why and How Often Is Revision Surgery Necessary after First Metatarsophalangeal Joint Arthrodeses? A Cohort of 120 Consecutive Cases
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作者 Lisca Drittenbass Halah Kutaish +2 位作者 Leow Voon Chin Richard Stern Mathieu Assal 《Open Journal of Orthopedics》 2021年第8期221-232,共12页
<b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Little is known about the rate and reasons for revision after prim... <b><span style="font-family:Verdana;">Background:</span></b><span style="font-family:Verdana;"> Little is known about the rate and reasons for revision after primary Metatarsophalangeal (MTP1) arthrodesis with </span><span style="font-family:Verdana;"><span style="font-family:Verdana;">the </span></span><span style="font-family:Verdana;">latest implants. While it is commonly assumed that nonunion accounts for most reoperations, we hypothesized that malposition is the leading cause of revision. The aim of this study was to determine the rate and reasons for revision after MTP1 arthrodesis using cup- and cone-reamers and </span><span style="font-family:Verdana;"><span style="font-family:Verdana;">the </span></span><span style="font-family:Verdana;">latest locking plate technology. </span><b><span style="font-family:Verdana;">Method:</span></b><span style="font-family:Verdana;"> Between 2015 and 2017, 120 consecutive MTP1 fusions in 114 patients were performed with a low profile, pre</span><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span><span style="font-family:Verdana;">contoured titanium dorsal locking plate and a plantar metatarsophalangeal screw. The rate and reasons for revision within a minimum one</span><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span><span style="font-family:Verdana;">year follow-up period (</span><span style="font-family:Verdana;">average </span><span style="font-family:Verdana;">16 months</span><span style="font-family:Verdana;"> [12</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">26]</span><span style="font-family:Verdana;">) after index procedure</span><span style="font-family:Verdana;"><span style="font-family:Verdana;">s</span></span><span style="font-family:Verdana;"> were </span><span style="font-family:Verdana;">documented </span><span style="font-family:Verdana;">and analyzed. </span> 展开更多
关键词 Metatarsophalangeal Joint fusion mtp1 Arthrodesis mtp1 fusion MALPOSITION REOPERATION REVISION
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