Conversion Arthrodesis for Failed First Metatarsophalangeal Joint Hemiarthroplasty: Surgical Technique

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Arthrodesis is currently the most commonly performed surgical procedure for the treatment of arthritis of the first metatarsophalangeal (MTP) joint. Hemiarthroplasty of the first MTP joint has been shown to result in inferior clinical results and higher revision rates. Once a hemiarthroplasty has failed, surgical options include either revision arthroplasty or conversion to first MTP joint fusion. In this article, we discuss our indications, techniques, and results of conversion to fusion, addressing pitfalls and limitations together with the need for bone grafting augmentation.

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