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Post-Operative Protocol: First Metatarsophalangeal (MTP) Joint Arthrodesis Phase 1 0-2 weeks: NWB, crutches/knee scooter, no ROM of 1 st MPT, gentle ankle pumps 2-6 weeks: Heel weight bearing in post-op shoe weaning from crutches between 3-4 weeks, able to pump ankle up and down, use compression (ACE bandage or compression sock) to help with ...
This clinical practice guideline (CPG) is based upon consensus of current clinical practice and review of the clinical literature. The guideline was developed by the Clinical Practice Guideline First Metatarsophalangeal (MTP) Joint Disorders Panel of the American College of Foot and Ankle Surgeons.
10 gru 2020 · This protocol outlines the first RCT comparing the effects of contoured foot orthoses to sham flat insoles on pain and other symptoms in people with first MTP joint OA. Foot orthoses are a promising intervention for people with first MTP joint OA.
13 mar 2020 · A range of treatment strategies were employed by the respondents to treat the vignette patient with first MTP joint OA (Table 4). In the entire cohort, the most common strategy was taping or padding, followed by exercise therapy, and hallux mobilisation/manipulation.
26 kwi 2022 · First metatarsophalangeal joint arthrodesis is commonly performed for symptomatic end-stage hallux rigidus. It has been postulated to produce good results in the literature. Various fixation techniques offer differences in union rates, complications and functional outcomes, stirring debates about which produces the best outcomes for patients.
Metatarsophalangeal joint pain most commonly results from misalignment of the joint surfaces with altered foot biomechanics, causing joint subluxations, flexor plate tears, capsular impingement, and joint cartilage destruction (osteoarthrosis).
Fusion techniques. Ankylosis. This article discusses principles of technique with an emphasis on the procedure to prepare a successful first metatarsal phalangeal joint (MTPJ) arthrodesis. The pearls and pitfalls within this article expound on technical nuances including those associated with fixation devices.
