Staple fixation for first metatarsophalangeal joint fusion: A case series with surgical and clinical outcomes

This is a case series of 5 patients, 6 total feet who underwent first metatarsophalangeal (MTP) joint fusion using staples. The objective of this case series is to demonstrate the ease of application of staples in MTP joint fusion procedures, and their ability to provide stable fixation to achieve successful fusion. The primary outcome evaluated was successful fusion with use of this alternative hardware. Historically plate and screw constructs have been utilized extensively for successful first MTP joint fusion. While staple constructs are more novel, this study aims to show that they are a viable alternative while they may or may not be superior. This collection of data is small and further studies are needed to compare their efficacy, longevity and complications as compared to other fixation methods. The patients' demographics, surgical techniques, postoperative outcomes, and compatibility with adjunctive therapies are discussed.