Do Postoperative Hallux Angles Correlate With Outcome in MP1 Fusion? Our Experience With 71 Cases

Paredes-Carnero, X.; Fernández-Cebrián, Antonio María; Villardefrancos-Gil, Silvia

doi:10.1177/1938640017751186

Cited by 4 publications

(3 citation statements)

References 36 publications

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“…Yet no association was found between the sagittal position of fusion and the clinical outcomes in other studies that addressed this question. 1 , 26 , 36 , 47 Nor was it the case in our study. By contrast, a relationship between DFA and distribution of plantar load during gait is suggested by 2 studies.…”

Section: Discussioncontrasting

confidence: 54%

“… 34 The position of dorsiflexion generally recommended in the literature ranges from 10 to 30 degrees. 1 , 5 , 17 , 26 , 36 To determine the position of fusion in the sagittal plane during the procedure, we apply the widely reported and reproductible method of simulating the contact with the floor with the application of a flat surface against the sole of the foot. 45 …”

Section: Discussionmentioning

confidence: 99%

“…The AOFAS-HMI score may not be the optimal tool to measure the clinical outcome in patients with first MTP fusion; nevertheless, it has remained widely used in clinical studies until recent years, allowing a priori power analysis. 3 , 6 , 8 , 15 , 19 , 20 , 23 , 25 - 27 , 36 , 42 , 48 , 51 …”

Section: Discussionmentioning

confidence: 99%

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Primary Isolated Arthrodesis of the First Metatarsophalangeal Joint for Hallux Rigidus: Clinical, Radiologic, and Pedobarographic Evaluation

Fragnière,

Kameni-Hekam,

Cissé

et al. 2024

Foot & Ankle Orthopaedics

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Background: Arthrodesis of the first metatarsophalangeal joint is an effective treatment of advanced hallux rigidus. Numerous options have been described for performing this intervention. The aim of this study was to evaluate the outcomes following a consistent surgical technique of joint preparation with hand tools and fixation with 2 crossed screws and a dorsal compression plate. Methods: Thirteen patients (16 feet) who underwent primary isolated arthrodesis of the first metatarsophalangeal joint between March 2019 and June 2021 were available for clinical, radiologic, and pedobarographic evaluation at a minimum of 12 months after surgery. American Orthopaedic Foot & Ankle Society scores, numerical pain rating scale, the radiologic hallux valgus and intermetatarsal 1-2 angles as well as the distribution of plantar pressure during gait were compared between the pre- and postoperative conditions. Results: After an average follow-up period of 26 months, union was achieved in all cases and the mean AOFAS score raised significantly by 39 points. All the patients were satisfied with the result. Only 1 patient complained of mild residual pain at walk. Hardware removal was performed in 2 cases. The mean hallux valgus angle dropped from 12.3 to 6.3 degrees. The mean postoperative dorsiflexion angle was 21.6 degrees. After the procedure, peak pressure was significantly higher beneath the first metatarsal head and heel, whereas pressure-time integral was significantly lower beneath the hallux and medial lesser toes. Conclusion: Arthrodesis of the first metatarsophalangeal joint with 2 crossed screws and a dorsal compression plate is a safe and effective treatment of advanced hallux rigidus. This procedure provides adequate pain relief and functional improvement of gait. Level of Evidence: Level IV, therapeutic, retrospective case series.

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