Comparative Analysis of First Metatarsophalangeal Arthrodesis:
Implant Survival, Failure Modes, and Functional Outcomes across
Three Fixation Techniques

J 2025

Comparative Analysis of First Metatarsophalangeal Arthrodesis: Implant Survival, Failure Modes, and Functional Outcomes across Three Fixation Techniques

JINDRA, Jakub; Vasileios APOSTOLOPOULOS; Jakub RAPI; Marian KUBICEK; Luboš NACHTNEBL et al.

Základní údaje

Originální název

Comparative Analysis of First Metatarsophalangeal Arthrodesis: Implant Survival, Failure Modes, and Functional Outcomes across Three Fixation Techniques

Autoři

JINDRA, Jakub; Vasileios APOSTOLOPOULOS; Jakub RAPI ; Marian KUBICEK; Luboš NACHTNEBL a Tomáš TOMÁŠ

Vydání

Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca, Praha, Galén, 2025, 0001-5415

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30211 Orthopaedics

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 0.400 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00143538

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

first metatarsophalangeal arthrodesis; first metatarsophalangeal joint fusion; AOFAS score; hallux rigidus

Štítky

14110123, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 7. 4. 2026 10:49, Mgr. Tereza Miškechová

Anotace

V originále

Purpose of the study First metatarsophalangeal (I. MTP) arthrodesis is a well-established surgical procedure for treating hallux rigidus. Despite its widespread use, the optimal fixation method remains debated. This study compares implant survival, failure modes, and functional outcomes across three fixation techniques: two crossed screws, dorsal plate fixation, and dorsal plate fixation with a lag screw. Material and methos A retrospective analysis was conducted on 83 patients (89 fusions) who underwent I. MTP arthrodesis between January 2014 and October 2023. Patients were categorized into three groups based on the fixation method: Group A (two crossed screws, n=31), Group B (dorsal plate, n=29), and Group C (dorsal plate with a lag screw, n=29). Implant survival, failure rates, hardware removal, and clinical outcomes were evaluated using radiographic assessment and the American Orthopedic Foot and Ankle Society-Hallux Metatarsophalangeal Interphalangeal (AOFAS-HMI)scoring system. Results The overall implant survival rate was 96.54% at one year and 93.98% at ten years. No significant differences in implant survival rates were observed among the three groups. Group C had the highest union rate (93.1%). Asymptomatic pseudoarthrosis was most common in Group B (17.24%). The hardware removal rate was higher in the plate groups (10.34%) compared to the two-screw group (3.1%). The mean AOFAS score was 83.30 (+/- 9.29), with no statistically significant differences between groups. Patient satisfaction was highest in Group C (96.6%) and lowest in Group (87.1%). Conclusions The long-term overall implant survival rate was excellent, with similar survival rates observed across all groups. Functional outcomes, assessed using the AOFAS score, were satisfactory and comparable among the fixation techniques. Hardware removal rates were higher in the groups that utilized plate fixation.

Citovat

JINDRA, Jakub; Vasileios APOSTOLOPOULOS; Jakub RAPI; Marian KUBICEK; Luboš NACHTNEBL a Tomáš TOMÁŠ. Comparative Analysis of First Metatarsophalangeal Arthrodesis: Implant Survival, Failure Modes, and Functional Outcomes across Three Fixation Techniques. Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca. Praha: Galén, 2025, roč. 92, č. 6, s. 311-319. ISSN 0001-5415. Dostupné z: https://doi.org/10.55095/achot2025/027.

@article{2549484,
   author = {Jindra, Jakub and Apostolopoulos, Vasileios and Rapi, Jakub and Kubicek, Marian and Nachtnebl, Luboš and Tomáš, Tomáš},
   article_location = {Praha},
   article_number = {6},
   doi = {https://doi.org/10.55095/achot2025/027},
   keywords = {first metatarsophalangeal arthrodesis; first metatarsophalangeal joint fusion; AOFAS score; hallux rigidus},
   language = {eng},
   issn = {0001-5415},
   journal = {Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca},
   title = {Comparative Analysis of First Metatarsophalangeal Arthrodesis: Implant Survival, Failure Modes, and Functional Outcomes across Three Fixation Techniques},
   url = {https://achot.cz/artkey/ach-202506-0001_comparative-analysis-of-first-metatarsophalangeal-arthrodesis-implant-survival-failure-modes-and-functional.php},
   volume = {92},
   year = {2025}
}

TY  - JOUR
ID  - 2549484
AU  - Jindra, Jakub - Apostolopoulos, Vasileios - Rapi, Jakub - Kubicek, Marian - Nachtnebl, Luboš - Tomáš, Tomáš
PY  - 2025
TI  - Comparative Analysis of First Metatarsophalangeal Arthrodesis: Implant Survival, Failure Modes, and Functional Outcomes across Three Fixation Techniques
JF  - Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca
VL  - 92
IS  - 6
SP  - 311-319
EP  - 311-319
PB  - Galén
SN  - 00015415
KW  - first metatarsophalangeal arthrodesis
KW  - first metatarsophalangeal joint fusion
KW  - AOFAS score
KW  - hallux rigidus
UR  - https://achot.cz/artkey/ach-202506-0001_comparative-analysis-of-first-metatarsophalangeal-arthrodesis-implant-survival-failure-modes-and-functional.php
N2  - Purpose of the study First metatarsophalangeal (I. MTP) arthrodesis is a well-established surgical procedure for treating hallux rigidus. Despite its widespread use, the optimal fixation method remains debated. This study compares implant survival, failure modes, and functional outcomes across three fixation techniques: two crossed screws, dorsal plate fixation, and dorsal plate fixation with a lag screw. Material and methos A retrospective analysis was conducted on 83 patients (89 fusions) who underwent I. MTP arthrodesis between January 2014 and October 2023. Patients were categorized into three groups based on the fixation method: Group A (two crossed screws, n=31), Group B (dorsal plate, n=29), and Group C (dorsal plate with a lag screw, n=29). Implant survival, failure rates, hardware removal, and clinical outcomes were evaluated using radiographic assessment and the American Orthopedic Foot and Ankle Society-Hallux Metatarsophalangeal Interphalangeal (AOFAS-HMI)scoring system. Results The overall implant survival rate was 96.54% at one year and 93.98% at ten years. No significant differences in implant survival rates were observed among the three groups. Group C had the highest union rate (93.1%). Asymptomatic pseudoarthrosis was most common in Group B (17.24%). The hardware removal rate was higher in the plate groups (10.34%) compared to the two-screw group (3.1%). The mean AOFAS score was 83.30 (+/- 9.29), with no statistically significant differences between groups. Patient satisfaction was highest in Group C (96.6%) and lowest in Group (87.1%). Conclusions The long-term overall implant survival rate was excellent, with similar survival rates observed across all groups. Functional outcomes, assessed using the AOFAS score, were satisfactory and comparable among the fixation techniques. Hardware removal rates were higher in the groups that utilized plate fixation.
ER  -

JINDRA, Jakub; Vasileios APOSTOLOPOULOS; Jakub RAPI; Marian KUBICEK; Luboš NACHTNEBL a Tomáš TOMÁŠ. Comparative Analysis of First Metatarsophalangeal Arthrodesis: Implant Survival, Failure Modes, and Functional Outcomes across Three Fixation Techniques. \textit{Acta chirurgiae orthopaedicae et traumatologiae čechoslovaca}. Praha: Galén, 2025, roč.~92, č.~6, s.~311-319. ISSN~0001-5415. Dostupné z: https://doi.org/10.55095/achot2025/027.

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