Presentation on theme: "27th Annual AOFAS Summer Meeting July 14, 2011. Alejandro E. Pino, MD Elizabeth Young, BS Lucas J. Bader, MD Chloe Cheng, BS Andrew J. Elliott, MD 1 Matthew."— Presentation transcript:
Alejandro E. Pino, MD Elizabeth Young, BS Lucas J. Bader, MD Chloe Cheng, BS Andrew J. Elliott, MD 1 Matthew M. Roberts, MD David S. Levine, MD Jonathan T. Deland, MD 2 Martin OMalley, MD 1)Financial relationship with Bacterin 2)Financial relationship with Zimmer, Arthrex and Tornier
Introduction First Metatarsophalangeal Joint (MTPJ) Arthrodesis offers reliable pain relief Many accepted techniques Stigma due to perceived functional limitation
Introduction Good functional outcomes described One technique Single surgeon Homogeneous patient population
Our Study Review functional outcomes after first MTPJ arthrodesis Multiple surgeons Different fixation techniques Heterogeneous population
Hypothesis Arthrodesis for the treatment of severe degeneration of the first MTPJ yields good functional outcomes regardless of fixation technique. Principles of arthrodesis upheld
Methods HSS Dept of Foot/Ankle Surgery patient database CPT code 2006-2009 Five different surgeons
Methods Pre/Postoperative FAOS, SF-12/36, activity/shoe wear specific questionnaire Brodsky et al FAI 2005 Radiographic evaluation
Methods Subgroup analysis Arthrodesis technique Cross screws versus Plate/lag screw Previous surgery Concomitant procedure
Discussion Union rate Plate/screw vs Cross screw Satisfaction rate Shoe wear limitations
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