Case 1. 1st MTPJ Fusion: Evidence for Functional Outcome

Description

This presentation by Anna Chapman discusses the merits of first MTP (metatarsophalangeal) joint fusion as a treatment for arthritis in active individuals. Chapman summarizes key studies, highlighting that this procedure is both an effective and predictable solution, backed by high patient satisfaction rates despite some limitations in range of motion.



She references several research articles that focus on functional outcomes post-surgery, emphasizing that a significant percentage of patients can return to, and even excel in, various physical activities and sports. For instance, one study reports a 94% satisfaction rate among patients regarding their ability to engage in sports after surgery. Chapman addresses common concerns, such as footwear limitations, particularly in certain demographics where style choices are significant, mentioning specific cases related to regional preferences like cowboy boots.



The overall message emphasizes the successful outcomes of joint fusion in enhancing patients’ quality of life, allowing them to partake in activities like yoga, running, and even more rigorous sports. Chapman finishes by managing expectations around post-operative recovery, reassuring that while some may experience slight difficulties, many patients find themselves capable of continuing their previous activity levels.

DOI: 10.1302/3114-210096

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