West TA, Pollard JD, Carpenter DM, et al. - A retrospective cohort study was conducted to explore the relationship between crossed screws (vs dorsal plating) and medical comorbidities and the outcome radiographic union. Researchers employed bivariate tests of association and multivariable logistic regression to evaluate differences across fixation type and outcomes. They distinguished 305 patients who had undergone a first metatarsophalangeal joint arthrodesis during the study period. The results of this study demonstrate that individuals with multiple medical comorbidities were more likely to require revision surgery than patients having 0-1 comorbidities. This study demonstrates that crossed screws can provide an inexpensive yet effective option for first metatarsophalangeal joint arthrodesis.