Comparison study of two methods of fusion of the first metatarsophalangeal joint

Abstract

Between 1968 and 1989, 121 patients suffering from hallux rigidus underwent fusion of the first metatarsophalangeal joint in 164 feet. Two methods of fixation were performed. In 95 feet fixation with cancellous screw was used (group A), and in 69 feet crossed wire loops (Ross-Smith technique) (group B). The time of follow-up was from 2 to 25 years (mean 6 years). In group A, 96% of the patients were finally satisfied, following a 21% rate of reoperations, 10% for prominent screw heads, 5% for non-union, 6% for malunion. In group B, all patients were satisfied, following a 4% rate of reoperations: 3% for non-union, 1% for malunion. The Ross-Smith technique has lower complication rate and offers a useful alternative to screw fixation.