Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jun 18, 2023; 14(6): 436-442
Published online Jun 18, 2023. doi: 10.5312/wjo.v14.i6.436
Achieving high union rates after first metatarsophalangeal joint arthrodesis: Radiographic outcomes and technical pitfalls
Christian von Deimling, Timo Tondelli, Samuel Brunner, Octavian Andronic, Alexander David Graf
Christian von Deimling, Timo Tondelli, Samuel Brunner, Octavian Andronic, Alexander David Graf, Department of Orthopedic Surgery and Traumatology, Bürgerspital Solothurn, Solothurn 4500, Switzerland
Author contributions: von Deimling C wrote the manuscript, performed the data acquisition; Tondelli T contributed to the statisics, data acquisition; Andronic O main responsibility for the study plan and design; Brunner S and Graf AD are senior author.
Institutional review board statement: This retrospective study was approved by the ethics commission board of northwest- and central- Switzerland and was conducted entirely at the authors institution: BASEC Nr 2021-00837.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: SB is in the advisory board of DePuy Synthes and receives advisory fees.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Octavian Andronic, MD, Surgeon, Department of Orthopedic Surgery and Traumatology, Bürgerspital Solothurn, Schöngrünstrasse 42, Solothurn 4500, Switzerland. and_octavian@gmx.ch
Received: December 28, 2022
Peer-review started: December 28, 2022
First decision: March 24, 2023
Revised: April 14, 2023
Accepted: May 15, 2023
Article in press: May 15, 2023
Published online: June 18, 2023
Processing time: 172 Days and 14 Hours
Core Tip

Core Tip: The most important findings in this study are that metatarsophalangeal joint fusion using a compressions screw and a dorsal plate can achieve union rates close to 100% even in patients that are diabetic or smoke. Furthermore, we didn't find any correlation between the degree of correction and risk of nonunion.