Abstract
Degenerative arthritis of the first metatarsophalyngeal joint (MTPJ) is the second commonest pathological problem to affect the great toe after hallux valgus. Clinically, the condition presents with a painful MTPJ, with a restricted range of motion. Patients with early stage disease can be managed initially by non-surgical means (corticosteroid injections, anti-inflammatory tablets, shoe modification). In disease that has progressed, the cheilectomy surgical procedure has good results. Despite a range of surgical treatment options for end stage disease, arthrodesis remains the most predictable method to relieve symptoms. The poor results of arthroplasty make this treatment only appropriate in carefully designed and conducted clinical trials.
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Gordon, D., Singh, D. (2014). Osteoarthritis of the Great Toe Metatarsophalangeal Joint. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_162
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DOI: https://doi.org/10.1007/978-3-642-34746-7_162
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