{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T09:05:15Z","timestamp":1775639115898,"version":"3.50.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Objective: This study aimed to compare clinical outcomes and total treatment costs of 3 fixation strategies\u2014isolated dorsal plating, dorsal plating with a single lag screw, and dorsal plating with dual lag screws\u2014in patients undergoing first metatarsophalangeal (MTP) joint arthrodesis for advanced hallux rigidus.\u00a0\r\nMethods: This retrospective study included 99 patients who underwent primary first MTP joint arthrodesis between 2019 and 2024. Patients were categorized into Group 1 (dorsal plate only; n = 27), Group 2 (plate + 1 lag screw; n = 42), and Group 3 (plate + 2 lag screws; n = 30). Demographic variables, radiographic union, revision rates, functional outcomes (American Orthopaedic Foot and Ankle Society [AOFAS], Visual Analog Scale [VAS], Foot Function Index [FFI]), and total 12-month treatment costs were evaluated. The primary outcome measures were union rate, time to union, revision surgery, functional scores, and cumulative cost.\u00a0\r\nResults: Group 1 demonstrated significantly lower union rates compared with Groups 2 and 3 (88.9% vs. 100% for both; P = .027) and a longer mean time to union (75 days vs. 65.8 and 62 days, respectively; P = .001). Revision surgery was required only in Group 1 (11.1%). The AOFAS scores were significantly higher in the screw-augmented groups (P = .013), while VAS and FFI scores showed no between-group differences. Cost analysis identified Group 2 as the most cost-effective strategy (9500 \u00b1 1100 TL \u2248 $310 \u00b1 36), compared with Group 1 (11 200 \u00b1 1400 TL \u2248 $365 \u00b1 46, P = .021) and Group 3 (11 600 \u00b1 1300 TL \u2248 $378 \u00b1 42, P = .038).\u00a0\r\nConclusion: Single lag-screw augmentation of dorsal plate fixation provides superior union, fewer revisions, improved functional scores, and the lowest overall 12-month cost. These findings support dorsal plating with a single lag screw as a practical, value-based fixation strategy for advanced hallux rigidus, offering optimal clinical and economic outcomes.\u00a0\r\n\u00a0\r\nCite this article as: Kazez M, Batur \u00d6C, \u00d6nce G, K\u00fcr\u00fcm H, Kaya O, Yal\u0131n M. Single lag-screw\u2013augmented dorsal plating yields superior union and lower costs in first metatarsophalangeal arthrodesis. Acta Orthop Traumatol Turc., 2026; 60(2), 0417, doi: 10.5152\/j.aott.2025.25417.\u00a0<\/jats:p>","DOI":"10.5152\/j.aott.2026.25417","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T08:25:58Z","timestamp":1775636758000},"source":"Crossref","is-referenced-by-count":0,"title":["Single lag-screw\u2013augmented dorsal plating yields superior union and lower costs in first metatarsophalangeal arthrodesis"],"prefix":"10.5152","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7344-1064","authenticated-orcid":false,"given":"Muhammed","family":"Kazez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2179-5864","authenticated-orcid":false,"given":"\u00d6mer Cihan","family":"Batur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9220-5729","authenticated-orcid":false,"given":"G\u00f6khan","family":"\u00d6nce","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9352-2593","authenticated-orcid":false,"given":"H\u00fcseyin","family":"K\u00fcr\u00fcm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6076-7057","authenticated-orcid":false,"given":"O\u011fuz","family":"Kaya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8281-9885","authenticated-orcid":false,"given":"Mustafa","family":"Yal\u0131n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2026,4,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/download\/4127\/4077","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/download\/4127\/4077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T08:25:59Z","timestamp":1775636759000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aott.org.tr\/index.php\/pub\/article\/view\/4127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,3,4]]}},"URL":"https:\/\/doi.org\/10.5152\/j.aott.2026.25417","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4,8]]}}}