Use of Femoral Head Allograft with Segmental Defects of the First Ray.

Authors

Thomas Brosky, Chandler Ligas, Angela Moon, Bailey Hammond

Published in

Clinics in podiatric medicine and surgery. Volume 43. Issue 4. Pages 575-580. Epub Jun 19, 2026.

Abstract

Introduction describes first metatarsophalangeal (MTP) joint arthrodesis as a historical and currently powerful option for severe forefoot deformities, including arthritis, hallux valgus, hallux varus, and trauma. Shortening of the first ray, particularly after MIS bunion procedures and revisional surgeries, creates biomechanics challenges that can compromise fusion. To address large segmental defects, the senior author advocates interpositional femoral head allograft to restore first-ray length and provide structural support for stable MTP joint arthrodesis. The approach avoids autograft drawbacks, and emphasizes accurate debridement and graft sizing, vascular assessment, and biotechnologic enhancement to promote osteogenesis, with fusion outcomes supported by retrospective data.

PMID:
42822869
Bibliographic data and abstract were imported from PubMed on 02 Oct 2026.

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