{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T14:18:18Z","timestamp":1784557098481,"version":"3.55.0"},"reference-count":58,"publisher":"Bioscientifica","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>A systematic review to determine the effect of different types of joint preparation, joint fixation, and postoperative weight-bearing protocols on non-union frequency in first metatarsophalangeal joint (MTPJ) arthrodesis in patients with moderate-to-severe hallux valgus.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and methods<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>A systematic literature search (PubMed and EMBASE), adhering to PRISMA guidelines. Data on MTPJ preparation, fixation, weight-bearing, and non-union in patients with moderate-to-severe hallux valgus were collected. Quality assessment was performed using the Coleman Methodology Score.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>Sixteen studies (934 feet) were included, generally of medium quality. Overall non-union rate was 7.7%. At 6.3%, convex\/concave joint preparation had the lowest non-union rate vs 12.2% for hand instruments and 22.2% for planar cuts. Non-union of 2.8% was found for joint fixation with a plate combined with a lag screw vs 6.5% for plate fixation, 11.1% for crossed screw fixation, and 12.5% for a plate with a cross plate compression screw. A 5.1% non-union frequency was found following postoperative full weight-bearing on a flat shoe vs 9.3% for full weight-bearing on a heel weight-bearing shoe and 0% for a partial weight-bearing regimen.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>Based on medium-quality papers, joint preparation with convex\/concave reamers and joint fixation with a plate using a lag screw show the lowest non-union rate. Full postoperative weight-bearing in a stiff-soled postoperative shoe is safe and not associated with non-union vs a more protective load-bearing regimen. Further research should focus on larger sample sizes, longer follow-ups, and stronger study designs.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:sec>","DOI":"10.1530\/eor-22-0134","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T08:11:41Z","timestamp":1678781501000},"page":"101-109","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":15,"title":["Non-union incidence of different joint preparation types, joint fixation techniques, and postoperative weightbearing protocols for arthrodesis of the first metatarsophalangeal joint in moderate-to-severe hallux valgus: a systematic review"],"prefix":"10.1530","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9097-1051","authenticated-orcid":true,"given":"Wout","family":"F\u00fcssenich","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gesine H","family":"Seeber","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"},{"name":"University Hospital for Orthopaedics and Trauma Surgery Pius-Hospital, Medical Campus University of Oldenburg, Oldenburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian R","family":"Zwoferink","sequence":"additional","affiliation":[{"name":"Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthijs P","family":"Somford","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Rijnstate Hospital, Arnhem, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Stevens","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Journal of Foot and Ankle Research","first-page":"21","article-title":"Prevalence of hallux valgus in the general population: A systematic review and meta-analysis","volume":"3","author":"Nix","year":"2010","unstructured":"Nix SSmith M & Vicenzino B. Prevalence of hallux valgus in the general population: A systematic review and meta-analysis. Journal of Foot and Ankle Research2010321. (https:\/\/doi.org\/10.1186\/1757-1146-3-21)"},{"key":"bib2","series-title":"Foot and Ankle International","first-page":"483","article-title":"Gait instability in older people with hallux valgus","volume":"26","author":"Menz","year":"2005","unstructured":"Menz HB & Lord SR. Gait instability in older people with hallux valgus. Foot and Ankle International200526483\u2013489. (https:\/\/doi.org\/10.1177\/107110070502600610)"},{"key":"bib3","series-title":"Journal of the American Geriatrics Society","first-page":"1651","article-title":"The contribution of foot problems to mobility impairment and falls in community-dwelling older people","volume":"49","author":"Menz","year":"2001","unstructured":"Menz HB & Lord SR. The contribution of foot problems to mobility impairment and falls in community-dwelling older people. Journal of the American Geriatrics Society2001491651\u20131656. (https:\/\/doi.org\/10.1111\/j.1532-5415.2001.49275.x)"},{"key":"bib4","series-title":"Journal of the American Geriatrics Society","first-page":"479","article-title":"Foot pain and disability in older persons: an epidemiologic survey","volume":"43","author":"Benvenuti","year":"1995","unstructured":"Benvenuti FFerrucci LGuralnik JMGangemi S & Baroni A. Foot pain and disability in older persons: an epidemiologic survey. Journal of the American Geriatrics Society199543479\u2013484. (https:\/\/doi.org\/10.1111\/j.1532-5415.1995.tb06092.x)"},{"key":"bib5","series-title":"Foot and Ankle Orthopaedics","first-page":"2473011419838500","article-title":"Hallux valgus","volume":"4","author":"Ray","year":"2019","unstructured":"Ray JJFriedmann AJHanselman AEVaida JDayton PDHatch DJSmith B & Santrock RD. Hallux valgus. Foot and Ankle Orthopaedics201942473011419838500. (https:\/\/doi.org\/10.1177\/2473011419838500)"},{"key":"bib6","series-title":"Journal of Bone and Joint Surgery. American Volume","first-page":"932","article-title":"Hallux valgus","volume":"78","author":"Coughlin","year":"1996","unstructured":"Coughlin MJ. Hallux valgus. Journal of Bone and Joint Surgery. American Volume199678932\u2013966. (https:\/\/doi.org\/10.2106\/00004623-199606000-00018)"},{"key":"bib7","series-title":"Journal of Foot and Ankle Surgery","first-page":"710","article-title":"Nonunion after arthrodesis of the first metatarsal-phalangeal joint: A systematic review","volume":"50","author":"Roukis","year":"2011","unstructured":"Roukis TS. Nonunion after arthrodesis of the first metatarsal-phalangeal joint: A systematic review. Journal of Foot and Ankle Surgery201150710\u2013713. (https:\/\/doi.org\/10.1053\/j.jfas.2011.06.012)"},{"key":"bib8","series-title":"Foot","first-page":"69","article-title":"A locking compression plate versus the gold-standard non-locking plate with lag screw for first metatarsophalangeal fusion: A biomechanical comparison","volume":"34","author":"Mandell","year":"2018","unstructured":"Mandell DKarbassi JZhou HBurroughs BAurigemma P & Patel AR. A locking compression plate versus the gold-standard non-locking plate with lag screw for first metatarsophalangeal fusion: A biomechanical comparison. Foot20183469\u201373. (https:\/\/doi.org\/10.1016\/j.foot.2017.11.001)"},{"key":"bib9","series-title":"Journal of Foot and Ankle Surgery","first-page":"891","article-title":"A prospective evaluation of first metatarsophalangeal fusion using an innovative dorsal compression plating system","volume":"60","author":"Gould","year":"2021","unstructured":"Gould AERLogan KLin ZMarsland D & Elliot RR. A prospective evaluation of first metatarsophalangeal fusion using an innovative dorsal compression plating system. Journal of Foot and Ankle Surgery202160891\u2013896. (https:\/\/doi.org\/10.1053\/j.jfas.2021.02.011)"},{"key":"bib10","series-title":"Foot and Ankle International","first-page":"385","article-title":"Review of 107 hallux MTP joint arthrodesis using dome-shaped reamers and a stainless-steel dorsal plate","volume":"31","author":"Ellington","year":"2010","unstructured":"Ellington JKJones CPCohen BEDavis WHNickisch F & Anderson RB. Review of 107 hallux MTP joint arthrodesis using dome-shaped reamers and a stainless-steel dorsal plate. Foot and Ankle International201031385\u2013390. (https:\/\/doi.org\/10.3113\/FAI.2010.0385)"},{"key":"bib11","series-title":"Foot and Ankle International","first-page":"752","article-title":"First metatarsalphalangeal joint arthrodesis: evaluation of plate and screw fixation","volume":"30","author":"Bennett","year":"2009","unstructured":"Bennett GL & Sabetta J. First metatarsalphalangeal joint arthrodesis: evaluation of plate and screw fixation. Foot and Ankle International200930752\u2013757. (https:\/\/doi.org\/10.3113\/FAI.2009.0752)"},{"key":"bib12","series-title":"Foot and Ankle International","first-page":"51","article-title":"Effect of pathology on union of first metatarsophalangeal joint arthrodesis","volume":"36","author":"Korim","year":"2015","unstructured":"Korim MT & Allen PE. Effect of pathology on union of first metatarsophalangeal joint arthrodesis. Foot and Ankle International20153651\u201354. (https:\/\/doi.org\/10.1177\/1071100714549046)"},{"key":"bib13","series-title":"Journal of Foot and Ankle Surgery","first-page":"433","article-title":"Incidence of nonunion of first metatarsophalangeal joint arthrodesis for severe hallux valgus using crossed, flexible titanium intramedullary nails and a dorsal static staple with immediate weightbearing in female patients","volume":"51","author":"Roukis","year":"2012","unstructured":"Roukis TSMeusnier T & Augoyard M. Incidence of nonunion of first metatarsophalangeal joint arthrodesis for severe hallux valgus using crossed, flexible titanium intramedullary nails and a dorsal static staple with immediate weightbearing in female patients. Journal of Foot and Ankle Surgery201251433\u2013436. (https:\/\/doi.org\/10.1053\/j.jfas.2012.02.008)"},{"key":"bib14","series-title":"Clinical Research on Foot and Ankle","first-page":"2016","article-title":"High incidence of non-union following arthrodesis of the first metatarsophalangeal joint","volume":"6","author":"F\u00fcssenich","year":"2018","unstructured":"F\u00fcssenich WScholten RRijnberg W & Somford M. High incidence of non-union following arthrodesis of the first metatarsophalangeal joint. Clinical Research on Foot and Ankle201862016\u20132019. (https:\/\/doi.org\/10.4172\/2329-910x.1000269)"},{"key":"bib15","series-title":"Cureus","first-page":"e14458","article-title":"First metatarsophalangeal joint arthrodesis: a narrative review of fixation constructs and their evolution","volume":"13","author":"LaCoste","year":"2021","unstructured":"LaCoste KLAndrews NARay JHarrelson WM & Shah A. First metatarsophalangeal joint arthrodesis: a narrative review of fixation constructs and their evolution. Cureus202113e14458. 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Effect of joint pathology, surface preparation and fixation methods on union frequency after first metatarsophalangeal joint arthrodesis: a systematic review of the English literature. Foot and Ankle Surgery201723189\u2013194. (https:\/\/doi.org\/10.1016\/j.fas.2016.05.317)"},{"key":"bib18","series-title":"Journal of Foot and Ankle Surgery","first-page":"993","article-title":"Severe hallux valgus angle attended with high incidence of nonunion in arthrodesis of the first metatarsophalangeal joint: a follow-up study","volume":"59","author":"F\u00fcssenich","year":"2020","unstructured":"F\u00fcssenich WBrusse-Keizer MGJ & Somford MP. Severe hallux valgus angle attended with high incidence of nonunion in arthrodesis of the first metatarsophalangeal joint: a follow-up study. Journal of Foot and Ankle Surgery202059993\u2013996. (https:\/\/doi.org\/10.1053\/j.jfas.2020.05.007)"},{"key":"bib19","series-title":"BMJ","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","unstructured":"Page MJMcKenzie JEBossuyt PMBoutron IHoffmann TCMulrow CD, The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ2021372. (https:\/\/doi.org\/10.1136\/bmj.n71)"},{"key":"bib20","series-title":"Journal of the Medical Library Association","first-page":"240","article-title":"De-duplication of database search results for systematic reviews in endnote","volume":"104","author":"Bramer","year":"2016","unstructured":"Bramer WMGiustini DDe Jong GBHolland L & Bekhuis T. De-duplication of database search results for systematic reviews in endnote. Journal of the Medical Library Association2016104240\u2013243. (https:\/\/doi.org\/10.3163\/1536-5050.104.3.014)"},{"key":"bib21","series-title":"Scandinavian Journal of Medicine and Science in Sports","first-page":"2","article-title":"Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian Institute of Sport Tendon Study Group","volume":"10","author":"Coleman","year":"2000","unstructured":"Coleman BDKhan KMMaffulli NCook JL & Wark JD. Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian Institute of Sport Tendon Study Group. Scandinavian Journal of Medicine and Science in Sports2000102\u201311. (https:\/\/doi.org\/10.1034\/j.1600-0838.2000.010001002.x)"},{"key":"bib22","series-title":"British Medical Bulletin","first-page":"75","article-title":"Quantitative review of operative management of hallux rigidus","volume":"98","author":"Maffulli","year":"2011","unstructured":"Maffulli NPapalia RPalumbo ADel Buono A & Denaro V. Quantitative review of operative management of hallux rigidus. British Medical Bulletin20119875\u201398. (https:\/\/doi.org\/10.1093\/bmb\/ldq041)"},{"key":"bib23","series-title":"Journal of Foot and Ankle Surgery","first-page":"436","article-title":"A multicenter retrospective cohort study of first metatarsophalangeal joint arthrodesis","volume":"60","author":"Kannan","year":"2021","unstructured":"Kannan SBennett AChong HHHilley ACoorsh JMurty ATownshend DKakwani R & Bhatia M. A multicenter retrospective cohort study of first metatarsophalangeal joint arthrodesis. Journal of Foot and Ankle Surgery202160436\u2013439. (https:\/\/doi.org\/10.1053\/j.jfas.2020.05.015)"},{"key":"bib24","series-title":"Foot and Ankle Specialist","first-page":"120","article-title":"Risk analysis of nonunion after first metatarsophalangeal joint arthrodesis","volume":"14","author":"Weber","year":"2021","unstructured":"Weber CYao DSchwarze MAndersson KAndric VKinkelin MClaassen LStukenborg-Colsman C & Waizy H. Risk analysis of nonunion after first metatarsophalangeal joint arthrodesis. Foot and Ankle Specialist202114120\u2013125. (https:\/\/doi.org\/10.1177\/1938640019899829)"},{"key":"bib25","series-title":"Journal of Foot and Ankle Surgery","first-page":"1179","article-title":"Risk factors for nonunion after first metatarsophalangeal joint arthrodesis with a dorsal locking plate and compression screw construct: correction of hallux valgus is key","volume":"60","author":"Weigelt","year":"2021","unstructured":"Weigelt LRedfern JHeyes GJButcher CMolloy A & Mason L. Risk factors for nonunion after first metatarsophalangeal joint arthrodesis with a dorsal locking plate and compression screw construct: correction of hallux valgus is key. Journal of Foot and Ankle Surgery2021601179\u20131183. (https:\/\/doi.org\/10.1053\/j.jfas.2020.12.007)"},{"key":"bib26","series-title":"Journal of Foot and Ankle Surgery","first-page":"583","article-title":"Sustainability of forefoot reconstruction for the rheumatoid foot","volume":"55","author":"Whitt","year":"2016","unstructured":"Whitt KJRincker SA & Hyer CF. Sustainability of forefoot reconstruction for the rheumatoid foot. Journal of Foot and Ankle Surgery201655583\u2013585. (https:\/\/doi.org\/10.1053\/j.jfas.2016.02.003)"},{"key":"bib27","series-title":"Foot and Ankle Surgery","first-page":"213","article-title":"Outcomes of bilateral simultaneous hallux MTPJ fusion","volume":"27","author":"Mehtar","year":"2021","unstructured":"Mehtar MSaragas NP & Ferrao PN. Outcomes of bilateral simultaneous hallux MTPJ fusion. Foot and Ankle Surgery202127213\u2013216. (https:\/\/doi.org\/10.1016\/j.fas.2020.04.012)"},{"issue":"Supplement","key":"bib28","series-title":"Orthopaedics and Traumatology, Surgery and Research","first-page":"S77","article-title":"Scarf osteotomy versus metatarsophalangeal arthrodesis in forefoot first ray disorders: comparison of functional outcomes","volume":"98","author":"Desmarchelier","year":"2012","unstructured":"Desmarchelier RBesse JLFessy MH & French Association of Foot Surgery (AFCP). Scarf osteotomy versus metatarsophalangeal arthrodesis in forefoot first ray disorders: comparison of functional outcomes. Orthopaedics and Traumatology, Surgery and Research201298(Supplement) S77\u2013S84. (https:\/\/doi.org\/10.1016\/j.otsr.2012.04.016)"},{"key":"bib29","series-title":"Journal of Foot and Ankle Surgery","first-page":"462","article-title":"A consecutive case series of 166 first metatarsophalangeal joint fusions using a combination of cup and cone reamers and crossed cannulated screws","volume":"57","author":"Asif","year":"2018","unstructured":"Asif MQasim SNKannan S & Bhatia M. A consecutive case series of 166 first metatarsophalangeal joint fusions using a combination of cup and cone reamers and crossed cannulated screws. Journal of Foot and Ankle Surgery201857462\u2013465. (https:\/\/doi.org\/10.1053\/j.jfas.2017.10.026)"},{"key":"bib30","series-title":"Foot","first-page":"56","article-title":"Rheumatoid forefoot reconstruction: outcome of 1st metatarsophalangeal joint fusion and the Stainsby procedure in the lesser toes","volume":"24","author":"Bass","year":"2014","unstructured":"Bass EJShariff R & Sirikonda SP. Rheumatoid forefoot reconstruction: outcome of 1st metatarsophalangeal joint fusion and the Stainsby procedure in the lesser toes. Foot20142456\u201361. (https:\/\/doi.org\/10.1016\/j.foot.2014.02.006)"},{"key":"bib31","series-title":"Orthopedics","first-page":"e402","article-title":"Failure of fixation with nickel-titanium staples in first metatarsophalangeal arthrodesis with hallux valgus deformity","volume":"42","author":"Chan","year":"2019","unstructured":"Chan JJSarkar SSNordio AGuzman JZHasija R & Vulcano E. Failure of fixation with nickel-titanium staples in first metatarsophalangeal arthrodesis with hallux valgus deformity. Orthopedics201942e402\u2013e404. (https:\/\/doi.org\/10.3928\/01477447-20190523-06)"},{"key":"bib32","series-title":"Orthopaedics and Traumatology, Surgery and Research","first-page":"709","article-title":"Does arthrodesis of the first metatarsophalangeal joint correct the intermetatarsal M1M2angle? Analysis of a continuous series of 208 arthrodeses fixed with plates","volume":"101","author":"Dalat","year":"2015","unstructured":"Dalat FCottalorda FFessy MH & Besse JL. Does arthrodesis of the first metatarsophalangeal joint correct the intermetatarsal M1M2angle? Analysis of a continuous series of 208 arthrodeses fixed with plates. Orthopaedics and Traumatology, Surgery and Research2015101709\u2013714. (https:\/\/doi.org\/10.1016\/j.otsr.2015.06.021)"},{"key":"bib33","series-title":"Foot and Ankle International","first-page":"1535","article-title":"Hallux metatarsophalangeal joint arthrodesis with a hybrid locking plate and a plantar neutralization screw: A prospective study","volume":"34","author":"Doty","year":"2013","unstructured":"Doty JCoughlin MHirose C & Kemp T. Hallux metatarsophalangeal joint arthrodesis with a hybrid locking plate and a plantar neutralization screw: A prospective study. Foot and Ankle International2013341535\u20131540. (https:\/\/doi.org\/10.1177\/1071100713494779)"},{"key":"bib34","series-title":"Indian Journal of Orthopaedics","first-page":"103","article-title":"The functional outcome of hallux metatarsophalangeal joint arthrodesis using hallux intramedullary fusion device","volume":"55","author":"Dureja","year":"2021","unstructured":"Dureja K & Bhardwaj SH. The functional outcome of hallux metatarsophalangeal joint arthrodesis using hallux intramedullary fusion device. Indian Journal of Orthopaedics202155103\u2013109. (https:\/\/doi.org\/10.1007\/s43465-020-00194-4)"},{"key":"bib35","series-title":"International Orthopaedics","first-page":"711","article-title":"Clinical and radiological outcomes after arthrodesis of the first metatarsophalangeal joint","volume":"45","author":"Hoveidaei","year":"2021","unstructured":"Hoveidaei AHRoshanshad A & Vosoughi AR. Clinical and radiological outcomes after arthrodesis of the first metatarsophalangeal joint. International Orthopaedics202145711\u2013719. (https:\/\/doi.org\/10.1007\/s00264-020-04807-3)"},{"key":"bib36","series-title":"Foot","article-title":"Does the length of the plate affect the failure rate of hallux MTP joint arthrodesis for severe hallux valgus?","volume":"47","author":"Lee","year":"2021","unstructured":"Lee WCooper MTPerumal VTran S & Park JS. Does the length of the plate affect the failure rate of hallux MTP joint arthrodesis for severe hallux valgus?Foot202147 101773. (https:\/\/doi.org\/10.1016\/j.foot.2020.101773)"},{"key":"bib37","series-title":"Irish Journal of Medical Science","first-page":"885","article-title":"Comparison of 4 different techniques in first metatarsophalangeal joint arthrodesis","volume":"188","author":"Maleki","year":"2019","unstructured":"Maleki FRamesh ACassar-Gheiti AJFox CKelly PStephens MM & McKenna JV. Comparison of 4 different techniques in first metatarsophalangeal joint arthrodesis. Irish Journal of Medical Science2019188885\u2013891. (https:\/\/doi.org\/10.1007\/s11845-018-01961-x)"},{"key":"bib38","series-title":"Foot and Ankle Specialist","first-page":"1","article-title":"Outcomes of first metatarsophalangeal joint fusion using a Precontoured plate","author":"Riediger","year":"2021","unstructured":"Riediger MSheridan GA & Gul R. Outcomes of first metatarsophalangeal joint fusion using a Precontoured plate. Foot and Ankle Specialist20211\u20135. (https:\/\/doi.org\/10.1177\/19386400211000594)"},{"key":"bib39","series-title":"Foot and Ankle International","first-page":"400","article-title":"Combination of first metatarsophalangeal joint arthrodesis and proximal correction for severe hallux valgus deformity","volume":"33","author":"Rippstein","year":"2012","unstructured":"Rippstein PFPark YU & Naal FD. Combination of first metatarsophalangeal joint arthrodesis and proximal correction for severe hallux valgus deformity. Foot and Ankle International201233400\u2013405. (https:\/\/doi.org\/10.3113\/FAI.2012.0400)"},{"key":"bib40","series-title":"Acta Orthopaedica et Traumatologica Turcica","first-page":"174","article-title":"Surgical correction of hallux valgus deformity in children with cerebral palsy","volume":"52","author":"Sarikaya","year":"2018","unstructured":"Sarikaya IASeker AErdal OATalmac MA & Inan M. Surgical correction of hallux valgus deformity in children with cerebral palsy. Acta Orthopaedica et Traumatologica Turcica201852174\u2013178. (https:\/\/doi.org\/10.1016\/j.aott.2018.01.008)"},{"key":"bib41","series-title":"Journal of Foot and Ankle Research","first-page":"30","article-title":"First metatarsophalangeal joint arthrodesis\/fusion: a systematic review of modern fixation techniques","volume":"15","author":"Kang","year":"2022","unstructured":"Kang YS & Bridgen A. First metatarsophalangeal joint arthrodesis\/fusion: a systematic review of modern fixation techniques. Journal of Foot and Ankle Research20221530. 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(https:\/\/doi.org\/10.2106\/JBJS.H.01630)"},{"key":"bib44","series-title":"Foot and Ankle","first-page":"395","article-title":"Arthrodesis of the first metatarsophalangeal joint: a biomechanical study of internal fixation techniques","volume":"14","author":"Curtis","year":"1993","unstructured":"Curtis MJMyerson MJinnah RHCox QG & Alexander I. Arthrodesis of the first metatarsophalangeal joint: a biomechanical study of internal fixation techniques. Foot and Ankle199314395\u2013399. (https:\/\/doi.org\/10.1177\/107110079301400705)"},{"key":"bib45","series-title":"Journal of Foot and Ankle Surgery","first-page":"1135","article-title":"Biomechanical study concerning the types of resection in arthrodesis of first metatarsophalangeal joint","volume":"59","author":"Bart\u00e1k","year":"2020","unstructured":"Bart\u00e1k V\u0160t\u011bdr\u00fd JHornov\u00e1 JHe\u0159t JTich\u00fd P & Hrom\u00e1dka R. Biomechanical study concerning the types of resection in arthrodesis of first metatarsophalangeal joint. Journal of Foot and Ankle Surgery2020591135\u20131138. (https:\/\/doi.org\/10.1053\/j.jfas.2019.01.024)"},{"key":"bib46","series-title":"Foot and Ankle","first-page":"18","article-title":"A biomechanical study using cadaveric toes to test the stability of fixation techniques employed in arthrodesis of the first metatarsophalangeal joint","volume":"7","author":"Sykes","year":"1986","unstructured":"Sykes A & Hughes AW. A biomechanical study using cadaveric toes to test the stability of fixation techniques employed in arthrodesis of the first metatarsophalangeal joint. Foot and Ankle1986718\u201325. (https:\/\/doi.org\/10.1177\/107110078600700105)"},{"key":"bib47","series-title":"Journal of Bone and Joint Surgery. British Volume","first-page":"98","article-title":"Cone arthrodesis of the first metatarso-phalangeal joint","volume":"49","author":"Wilson","year":"1967","unstructured":"Wilson JN. Cone arthrodesis of the first metatarso-phalangeal joint. Journal of Bone and Joint Surgery. British Volume19674998\u2013101. (https:\/\/doi.org\/10.1302\/0301-620X.49B1.98)"},{"key":"bib48","series-title":"Journal of Foot and Ankle Surgery","first-page":"60","article-title":"Clinical outcomes after first metatarsophalangeal joint arthrodesis by flat cut joint preparation with individual adjustment for sagittal alignment","volume":"61","author":"Matsumoto","year":"2022","unstructured":"Matsumoto TTakeda RKasai TChang SHIzawa NHirose JTakuo J & Tanaka S. Clinical outcomes after first metatarsophalangeal joint arthrodesis by flat cut joint preparation with individual adjustment for sagittal alignment. Journal of Foot and Ankle Surgery20226160\u201366. (https:\/\/doi.org\/10.1053\/j.jfas.2020.10.015)"},{"key":"bib49","series-title":"Foot and Ankle International","first-page":"332","article-title":"First metatarsal-phalangeal joint arthrodesis: a biomechanical assessment of stability","volume":"24","author":"Politi","year":"2003","unstructured":"Politi JJohn HNjus GBennett GL & Kay DB. First metatarsal-phalangeal joint arthrodesis: a biomechanical assessment of stability. Foot and Ankle International200324332\u2013337. (https:\/\/doi.org\/10.1177\/107110070302400405)"},{"key":"bib50","series-title":"Foot and Ankle Surgery","first-page":"268","article-title":"Arthrodesis of the first metatarsophalangeal joint\u2014A biomechanical comparison of four fixation techniques","volume":"23","author":"Harris","year":"2017","unstructured":"Harris EMoroney P & Tourn\u00e9 Y. Arthrodesis of the first metatarsophalangeal joint\u2014A biomechanical comparison of four fixation techniques. Foot and Ankle Surgery201723268\u2013274. (https:\/\/doi.org\/10.1016\/j.fas.2016.07.005)"},{"key":"bib51","series-title":"Journal of Foot and Ankle Surgery","first-page":"208","article-title":"First metatarsophalangeal joint arthrodesis: quantitative mechanical testing of six-hole dorsal plate versus crossed screw fixation in cadaveric specimens","volume":"40","author":"Buranosky","year":"2001","unstructured":"Buranosky DJTaylor DTSage RASartori MPatwardhan APhelan M & Lam AT. First metatarsophalangeal joint arthrodesis: quantitative mechanical testing of six-hole dorsal plate versus crossed screw fixation in cadaveric specimens. Journal of Foot and Ankle Surgery200140208\u2013213. (https:\/\/doi.org\/10.1016\/s1067-2516(0180020-x)"},{"key":"bib52","series-title":"Journal of Orthopaedic Surgery","first-page":"2309499019826325","article-title":"Biomechanical consequences of first metatarsaophalangeal joint arthrodesis on flexor digitorum longus function: a cadaveric study","volume":"27","author":"Tan","year":"2019","unstructured":"Tan CY & Bin Mohd Fadil MF. Biomechanical consequences of first metatarsaophalangeal joint arthrodesis on flexor digitorum longus function: a cadaveric study. Journal of Orthopaedic Surgery2019272309499019826325. (https:\/\/doi.org\/10.1177\/2309499019826325)"},{"key":"bib53","series-title":"Foot and Ankle Surgery","first-page":"789","article-title":"Different fixation constructs and the risk of non-union following first metatarsophalangeal joint arthrodesis","volume":"27","author":"Cichero","year":"2021","unstructured":"Cichero MJYates BJJoyce ASDWilliamson DM & Walsh TP. Different fixation constructs and the risk of non-union following first metatarsophalangeal joint arthrodesis. Foot and Ankle Surgery202127789\u2013792. (https:\/\/doi.org\/10.1016\/j.fas.2020.10.006)"},{"key":"bib54","series-title":"Journal of Orthopaedic Surgery and Research","first-page":"23","article-title":"Weight-bearing recommendations after first metatarsophalangeal joint arthrodesis fixation: a biomechanical comparison","volume":"12","author":"Campbell","year":"2017","unstructured":"Campbell BSchimoler PBelagaje SMiller MC & Conti SF. Weight-bearing recommendations after first metatarsophalangeal joint arthrodesis fixation: a biomechanical comparison. Journal of Orthopaedic Surgery and Research20171223. (https:\/\/doi.org\/10.1186\/s13018-017-0525-z)"},{"key":"bib55","series-title":"Journal of Foot and Ankle Surgery","first-page":"1200","article-title":"Early weight-bearing after arthrodesis of the first metatarsal-phalangeal joint: a systematic review of the incidence of non-union","volume":"57","author":"Crowell","year":"2018","unstructured":"Crowell AVan JC & Meyr AJ. Early weight-bearing after arthrodesis of the first metatarsal-phalangeal joint: a systematic review of the incidence of non-union. Journal of Foot and Ankle Surgery2018571200\u20131203. (https:\/\/doi.org\/10.1053\/j.jfas.2018.05.012)"},{"key":"bib56","series-title":"Journal of the American Academy of Orthopaedic Surgeons","first-page":"727","article-title":"Early weight bearing after lower extremity fractures in adults","volume":"21","author":"Kubiak","year":"2013","unstructured":"Kubiak ENBeebe MJNorth KHitchcock R & Potter MQ. Early weight bearing after lower extremity fractures in adults. Journal of the American Academy of Orthopaedic Surgeons201321727\u2013738. (https:\/\/doi.org\/10.5435\/JAAOS-21-12-727)"},{"issue":"Supplement 2","key":"bib57","series-title":"Injury","first-page":"S78","article-title":"The role of mechanical stimulation in the enhancement of bone healing","volume":"52","author":"Augat","year":"2021","unstructured":"Augat PHollensteiner M & von R\u00fcden C. The role of mechanical stimulation in the enhancement of bone healing. Injury202152(Supplement 2) S78\u2013S83. (https:\/\/doi.org\/10.1016\/j.injury.2020.10.009)"},{"key":"bib58","series-title":"Bone","article-title":"Mechanically-regulated bone repair","volume":"154","author":"Anani","year":"2022","unstructured":"Anani T & Castillo AB. Mechanically-regulated bone repair. Bone2022154 116223. 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