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Wheeless' Textbook of Orthopaedics
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Arthrodesis of the first metatarsophalangeal joint in rheumatoid ³


arthritis. Biodegradable rods and Kirschner-wires in 39 cases. Á Niskanen RO. Lehtimaki MY. Hamalainen MM. Tormala P. Rokkanen PU. Acta Orthopaedica Scandinavica. 64(1):100-2, 1993 Feb. The first metatarsophalangeal joint was arthrodesed in 39 patients with rheumatoid arthritis. Fixation material was either biodegradable self-reinforced poly-L-lactide rods or Kirschner-wires. There were 3 * clinical nonunions in the biodegradable group, and none in the K-wire group, and radiographic nonunion in 5 and 2 cases, respectively. The fixator had to be removed in 3 cases in the K-wire group. The Á biodegradable rods did not seem to be any better than K-wires. *



Original Text by Clifford R. Wheeless, III, MD.