1ST MP JOINT ARTHRODESIS

Question 1

what are the steps for 1st MPJ arthrodesis?

Answer 1

incision
dissection/exposure
lateral release
technique
-bunionectomy
-cheilectomy
joint prep
-curettage
-wedge/planal resection
fixation
position focusing on planar adjustment

Question 2

post op mngment?

Answer 2

variable period of non WB depending on fixation used

multiple crossing large diameter steinmann pins that also cross IP joint or dorsal

screw + plate leading to 2 wks non wb in posterior splint