Arthrodesis or Total Replacement Arthroplasty for Hallux Rigidus: A Randomized Controlled Trial

Gibson, James; Thomson, Colin E

doi:10.1177/107110070502600904

Cited by 214 publications

(157 citation statements)

References 31 publications

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“…In literature, the rate of radiolucent lines around the implants after total first MTP joint replacement varies between 3.1% and 33% [9,12,13,24,30,32]. It can be argued that, in our series, a longer follow-up is required in order to fully assess the clinical and radiological outcomes.…”

Section: Discussionmentioning

confidence: 97%

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Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

Daniilidis

Martinelli

Marinozzi

et al. 2010

International Orthopaedics (SICOT)

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First metatarsophalangeal joint replacement is an alternative surgical procedure to arthrodesis in the treatment of moderate-to-severe hallux rigidus. However, few studies have been published about functional outcome after joint reconstructive procedures for hallux rigidus. The purpose of this study was to assess clinical, radiological and functional outcome, with special regard to recreational and sports activity, after first metatarsophalangeal joint replacement in patients affected by hallux rigidus grade III. Twenty-three patients who had undergone total joint replacement of the first metatarsophalangeal joint were examined preoperatively and three, six, 12 and 18 months postoperatively. All patients (mean age of 57.0±3.7 years) received a non-cemented TOEFIT-PLUS™ implant by one surgeon. Clinical scores (AOFAS score and VAS), radiological examination, patient satisfaction and sport participation were used to evaluate treatment outcome and radiolucent lines. The mean AOFAS score showed a significant improvement from 44.6±7.2 points preoperatively to an average of 82.5±14.4 points at last follow-up (p<0.001). The mean total ROM of the first MTP joint increased from 28.1±4.9 degrees preoperatively to 52.7±15.7 degrees postoperatively (p<0.001). After surgery, 91.3% of the patients were able to resume at least one recreational activity. Total arthroplasty for the treatment of hallux rigidus in an active patient population revealed good clinical and functional results. However, postoperative recreational sport activity showed a decrease in comparison to the pre-arthritic state. Further follow-up is necessary to quantify loosening risk in active patients after total hallux arthroplasty.

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Section: Discussionmentioning

confidence: 97%

“…The clinical outcomes after first MTP arthroplasty are satisfactory, even though controversial results have been reported concerning revision rates of hemi-and total arthroplasty [10,12,13,23,24,27,30,32].…”

Section: Introductionmentioning

confidence: 86%

Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

Daniilidis

Martinelli

Marinozzi

et al. 2010

International Orthopaedics (SICOT)

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“…A systematic review published in 2010 described surgical options to treat hallux rigidus and/or limitus. Procedures include cheilectomy (removal of a bony lump at the joint margin), arthrodesis (surgical fusion of bones), arthroplasty (joint replacement via remodelling or implant), osteotomy (cutting bone to shorten, lengthen or realign), soft tissue release and sesamoid release or excision [57][58][59].…”

Section: Treatmentmentioning

confidence: 99%

Osteoarthritis of the foot: a review of the current state of knowledge

et al. 2013

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Foot osteoarthritis (OA) is a very common disease that mainly affects older people deeply influencing their quality of life. The joint most frequently involved in the articular degenerative process is the first metatarsophalangeal joint. Its severe impairment may lead to a specific clinical pattern known as hallux rigidus that often requires surgical treatment. Currently conventional radiograms of feet associated with an accurate clinical examination should be performed in order to diagnose foot OA. However, new imaging modalities as ultrasonography and magnetic resonance imaging are emerging as valuable tools to assess foot OA. Therapeutic options for foot OA consist of conservative strategies, including life-style modification and pharmacological treatment, options that are usually adopted in early-stage disease and in invasive surgical procedures reserved to late-stage conditions. At the present time there is a lack of evidence in international literature specifically dealing with foot OA, so further investigation on this topic is required to clarify its pathogenesis, the diagnostic pathway and the best clinical management.Keywords: osteoarthritis, foot, ultrasound Osteoarthritis (OA) is a degenerative disorder that results from the biochemical breakdown of articular cartilage in the synovial joints and is the commonest cause of arthritis and a leading cause of pain and disability worldwide [1].Biomechanical and biochemical factors, such as the production of several chemokines, cytokines, and growth factors, determine an aberrant chondrocyte activation that contributes to the disruption of articular homeostasis. The imbalance between pro-and anti-inflammatory molecules may influence the progression of cartilage damage [2].OA accounts for 15% of all musculoskeletal consultations in patients aged 45 years and over in primary care [3]. This degenerative articular disease predominantly affects the knees, hips, hands and feet. Whereas the knee, the hip and the hand have received considerable attention, the foot has been relatively neglected yet the first metatarsophalangeal joint is one of the joints most frequently affected by OA [4].The aim of this review is to provide an overview of the current knowledge on foot OA, concerning risk factors, clinical features, diagnosis and treatment. Epidemiology and pathomechanismOA is the leading cause of chronic pain and disability among older people in developed countries. A podiatric supplement to the US National Health Interview Survey estimated that 24% of the population has at least one foot ailment, with older adults experiencing more troubles than younger adults [5]. Recent prevalence data from the Framingham Study reported that 19% of men and 29%

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“…Evre 3 v e 4 hastalarda metatarsofalangeal eklem artrodezi uygulaması sıktır. Artrodez uzun dönemde interfalangeal eklemde dejenerasyonlara neden olabilir [30]. Bir çok olguda tam temas alçısı gibi basınç dengeli dağılımını sağlayan konservatif yöntemler faydalı olabilir [31].…”

Section: öN Ayak Artrozları Halluks Rijidusunclassified

Arthritis of the Foot and Ankle, Ankle Arthroplasty, Current Concepts on Arthrodhesis

Topal¹

2015

Orthopaedics and Sports Medicine Guide for Researchers

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Genel BilgilerAyak bileği eklemini (Şekil 1) tibia, fibula ve talus oluşturur [1]. Tibia distal eklem yü-zünün longitudunal bir konveksitesi talusun konkav eklem yüzü ile uyumludur. Bu birleşimin orta noktasına göre tibiatalar eklemi medial ve lateral kompartmanlara ayrı-lır [2]. Ayak bileği ekleminin diğer eklemlere kıyasla daha küçük bir temas alanı vardır; bu da eklemde daha fazla strese neden olmaktadır [3]. Ayak bileği kıkırdağının kalça ve dize göre daha farklı tensil özelikleri olması ilerleyen yaşa rağmen primer osteoartrit gelişmesine engel olmaktadır [4]. Primer ayak bileği osteoartriti oldukça

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Arthrodesis or Total Replacement Arthroplasty for Hallux Rigidus: A Randomized Controlled Trial

Cited by 214 publications

References 31 publications

Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

Osteoarthritis of the foot: a review of the current state of knowledge

Arthritis of the Foot and Ankle, Ankle Arthroplasty, Current Concepts on Arthrodhesis

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