BACKGROUND: A frequent complication for the @entity6 @entity1 is neuropathic @entity1066 on the plantar surface of the first metatarsophalangeal (MTP) joint which can be difficult to manage. Debridement and resection arthroplasty with temporary external fixation and VAC dressing (Kinetic Concepts Inc, San Antonio, TX) is an alternative operative treatment to amputation. This study examined the outcomes of one center's experience with @entity1 who have undergone this procedure. MATERIALS AND METHODS: This retrospective cohort study examined @entity1 who underwent the procedure between March 2002 and March 2010. Information was obtained on relevant outcomes including: the initial procedure, secondary procedures on either foot, total time in external fixation, time until amputation, cause of @entity1066 and co-morbid conditions. During the study period, 16 @entity1 underwent resection arthroplasty with external fixation for first MTP @entity1066 . Fourteen of these @entity1 had underlying @entity6 , one had @entity5108 and one had @entity16 of unknown cause. All were available for followup at the end of the study period. Median followup was 38 (range, 3 to 96) months. RESULTS: At latest followup, six @entity1 required amputation, either transmetatarsal or transtibial, to treat their recurring @entity1066 . CONCLUSION: Resection arthroplasty with temporary external fixation appears to be a safe, effective and possible alternative to amputation for the treatment of neuropathic @entity1066 of the first MTP.

Resection arthroplasty, external fixation, and negative pressure dressing for first metatarsophalangeal joint XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity5108 :: ('MESH:D002607', 'Disease') :: ['Charcot-Marie-Tooth disease'] @entity6 :: ('MESH:D003920', 'Disease') :: ['diabetic', 'diabetes mellitus'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulceration'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neuropathy']
@entity1066 :: (MESH:D014456,Disease) :: ['ulcers']
