«Artrodesis de la articulación metatarsofalange primera empleando una placa vitallium con promedio de dos años siguientes.»
N. Aslam, and W.J. Ribbans
Orthopaedic Department, Northampton General Hospital, Cliftonville Road, Northampton, UK
Twenty-four patients (33 feet) underwent metatarsophalangeal joint arthrodesis using a vitallium plate with an additional oblique screw. The mean age was 55 years (range, 3768) with a mean follow up of 28 months (range, 1645). Patients were evaluated using the American Foot and Ankle Society clinical and radiographic guidelines. Twenty-three patients (32 feet) went on to complete fusion within 12 weeks, one patient had a non-union, the fusion was repeated successfully. One patient had deep infection and two patients had persistent foot pain. Hallux valgus angle was reduced by a mean of 12 degrees and intermetatarsal angle by a mean of 2 degrees. Patient satisfaction was high with relief of symptoms and improved appearance of the foot. First metatarsophalangeal joint arthrodesis using a vitallium plate with an oblique interfragmentary screw is a successful procedure with a high fusion rate, low complication rate and a high level of patient satisfaction.
Foot and Ankle Surgery. Volume 11, Issue 4 , 2005, Pages 197-201.