{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:14:52Z","timestamp":1777929292743,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Introduction<\/jats:title>\n First metatarsophalangeal (MTP) joint arthrodesis is the gold-standard treatment for end-stage arthritis and hallux deformities. Successful fusion is improved by achieving adequate compression across the joint. Traditional plating systems provide single-point compression, whereas the Arthrex MTP valgus plate is designed for double compression, potentially improving stability and union rates. This study aimed to confirm double compression and compare two anchoring methods: K-wire and olive tip guide wire (BB-tack).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Twelve cadaveric feet were randomised to plate fixation using either K-wire or BB-tack anchoring. Compression was measured with Tekscan sensors during three stages: after seating the first compression screw, after seating the second screw, and after reseating the second screw without the stabilising K-wire. Peak force and contact pressure were analysed using ANOVA and t-tests (\u03b1 = 0.05).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Both techniques achieved measurable compression after the first screw, which increased significantly with the second screw (mean pressure: 0.55\u20130.62\u00a0MPa; peak force: 18.3\u201322.2\u00a0N). Removing the stabilising K-wire before reseating reduced peak force but maintained comparable pressure. No significant differences were found between anchoring methods (\n p<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The Arthrex MTP valgus plate achieves double compression, enhancing construct rigidity compared to single-compression systems. Further clinical studies are warranted to validate these biomechanical advantages.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10225536251415444","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T13:13:36Z","timestamp":1770642816000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Double compression technique for first MTP joint fusion: A cadaveric analysis of valgus plate fixation"],"prefix":"10.1177","volume":"34","author":[{"given":"Danny","family":"Deng","sequence":"first","affiliation":[{"name":"Westmead Hospital"},{"name":"The University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajat","family":"Mittal","sequence":"additional","affiliation":[{"name":"University of Notre Dame"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9396-106X","authenticated-orcid":false,"given":"Gavin","family":"Buzza","sequence":"additional","affiliation":[{"name":"Charles Sturt University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Cadman","sequence":"additional","affiliation":[{"name":"Macquarie University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dane (Dabirrahmani)","family":"Turner","sequence":"additional","affiliation":[{"name":"Macquarie University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Appleyard","sequence":"additional","affiliation":[{"name":"Macquarie University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean","family":"Pepper","sequence":"additional","affiliation":[{"name":"University of New South Wales, Port Macquarie Clinical School"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13047-022-00540-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713494779"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714534419"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2008.0722"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2016.07.005"},{"issue":"4","key":"e_1_3_3_7_2","first-page":"e14458","article-title":"First metatarsophalangeal joint arthrodesis: a narrative review of fixation constructs and their evolution","volume":"13","author":"LaCoste KL","year":"2021","unstructured":"LaCoste KL, Andrews NA, Ray J, et al. First metatarsophalangeal joint arthrodesis: a narrative review of fixation constructs and their evolution. Cureus 2021; 13(4): e14458.","journal-title":"Cureus"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719837524"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1146-3-11"},{"issue":"11","key":"e_1_3_3_10_2","first-page":"e74168","article-title":"The outcome of the use of continuous action compression device for the first metatarsophalangeal joint fusion","volume":"16","author":"Ismail A","year":"2024","unstructured":"Ismail A, Hannat G, Ashour A, et al. The outcome of the use of continuous action compression device for the first metatarsophalangeal joint fusion. Cur\u0113us 2024; 16(11): e74168.","journal-title":"Cur\u0113us"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.09.001"},{"issue":"8","key":"e_1_3_3_12_2","first-page":"112","article-title":"Tekscan pressure measurement accuracy for orthopaedic biomechanical joint contact measurements","volume":"99","author":"Herregodts S","year":"2017","unstructured":"Herregodts S, Baets PD, Victor J, et al. Tekscan pressure measurement accuracy for orthopaedic biomechanical joint contact measurements. Orthopaedic Proceedings 2017; 99-B(SUPP_8): 112.","journal-title":"Orthopaedic Proceedings"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1115\/1.3005165"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/1358-992X.2024.4.008"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536251415444","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536251415444","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536251415444","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:33:03Z","timestamp":1777678383000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536251415444"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/10225536251415444"],"URL":"https:\/\/doi.org\/10.1177\/10225536251415444","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"10225536251415444"}}