{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T22:04:01Z","timestamp":1783029841313,"version":"3.54.6"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2010,5,1]],"date-time":"2010-05-01T00:00:00Z","timestamp":1272672000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2010,5]]},"abstract":"<jats:p> Background: The purpose of this study was to retrospectively review the results of patients treated with hallux MTP joint arthrodesis using dome-shaped reamers for joint preparation and a precontoured dorsal stainless steel plate for internal fixation. Materials and Methods: A series of 145 patients (155 feet) were identified. Postoperative evaluation included weightbearing radiographs, physical examination, and chart review. Outcomes were assessed with a pain visual analog scale, AOFAS hallux score, as well as a detailed questionnaire and a subjective satisfaction survey. Results: 98 patients (107 feet) met the criteria for the study. The mean followup was 61 weeks. Revision cases accounted for 18.7% (20\/107). Rheumatoid arthritis (RA) was present in 32.7% (35\/107). The average postoperative AOFAS hallux score was 79.7 and pain VAS was 19. The average pre and postoperative hallux valgus angle was 26.5 and 12.3 degrees, respectively ( p &lt; 0.05). Eighty-nine of 107 patients (83.1%) reported good to excellent results at final followup. Discomfort related to prominence of the plate occurred in 14.9% (16\/107). The nonunion rate was 12.1% (13\/107). The nonunion rate for patients with\/without RA was 22.9% (8\/35) and 6.9% (5\/72), respectively ( p &lt; 0.05). Patients with a nonunion noted more hardware related pain than those with a union ( p &lt; 0.05). Conclusion: First MTP joint arthrodesis using this technique achieves a high union rate. RA patients have a lower union and higher complication rate. <\/jats:p><jats:p> Level of Evidence: IV, Retrospective Case Series <\/jats:p>","DOI":"10.3113\/fai.2010.0385","type":"journal-article","created":{"date-parts":[[2010,5,18]],"date-time":"2010-05-18T18:57:11Z","timestamp":1274209031000},"page":"385-390","source":"Crossref","is-referenced-by-count":73,"title":["Review of 107 Hallux MTP Joint Arthrodesis Using Dome-Shaped Reamers and a Stainless-Steel Dorsal Plate"],"prefix":"10.1177","volume":"31","author":[{"given":"J. Kent","family":"Ellington","sequence":"first","affiliation":[{"name":"Charlotte, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carroll P.","family":"Jones","sequence":"additional","affiliation":[{"name":"Charlotte, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce E.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Charlotte, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Hodges","family":"Davis","sequence":"additional","affiliation":[{"name":"Charlotte, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Nickisch","sequence":"additional","affiliation":[{"name":"Charlotte, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert B.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Charlotte, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2010,5,1]]},"reference":[{"key":"bibr1-FAI.2010.0385","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600803"},{"key":"bibr2-FAI.2010.0385","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2007.10.012"},{"key":"bibr3-FAI.2010.0385","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600205"},{"key":"bibr4-FAI.2010.0385","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(01)80020-X"},{"key":"bibr5-FAI.2010.0385","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502601001"},{"key":"bibr6-FAI.2010.0385","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19900901-16"},{"key":"bibr7-FAI.2010.0385","first-page":"177","volume":"19","author":"Coughlin MJ","year":"1990","journal-title":"Orthop. 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