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June 10, 2026Foot & Ankle International

Long-term Outcomes After First Metatarsophalangeal Joint Arthrodesis: With Focus on Degenerative Changes on Adjacent Joints

Simon Recheis Dietmar Mattausch Nils Kuehn Harald Kindermann Reinhold Ortmaier Martin Bischofreiter Thomas Stumpner

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Key Points

This study aims to evaluate long-term outcomes post first metatarsophalangeal joint arthrodesis with a focus on degenerative changes in adjacent joints.
Single-center follow-up study with patients who underwent MTP1 arthrodesis from 2012 to 2018.
Assessments included radiographs for osteoarthritis progression and various clinical scores for functional outcomes.
Statistical analyses included paired tests and Pearson correlation.
Progression of osteoarthritis most notable in the interphalangeal joint, with 66 of 77 joints showing changes.
Overall, 90.9% of patients reported good or excellent satisfaction rates after the procedure.
Mean scores: AOFAS HMI 79.9, FAOS 86.4, FFI 18.5%.

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Implication

Exploratory single-center study finds good outcomes after MTP1 arthrodesis, though some adjacent joints show degeneration.

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Cite This Study

Recheis et al. (2026) studied this question.

synapsesocial.com/papers/6a2cf5aefaef96ed7f05796e https://doi.org/10.1177/10711007261441611

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