Nonunion of proximal phalanx of hallux treated using mesh plate: Report of two cases

Wire or screw fixation is commonly used to treat proximal toe phalangeal fractures. However, these methods are sometimes insufficient for stabilizing nonunion with bone defects. Here, we report two cases of hallux proximal phalanx nonunion repair using a mesh plate. Case 1 describes a 23-year-old male patient with a fracture of the proximal phalanx of the hallux who was initially treated with pinning, leading to nonunion; thus, they were referred to our department for treatment. Autologous bone grafting and fixation with a mesh plate were performed, and bone union was achieved after three months. Case 2 describes a 35-year-old male patient with an injury to the proximal phalanx of the hallux. Nonunion occurred despite plate fixation; thus, the patient was referred to our department. Plate removal, autologous bone grafting, and fixation with a mesh plate resulted in bone union after six months. The mesh plate is a useful implant for nonunion of the hallux proximal phalanx with bone defects.