First Metatarsophalangeal Joint Interpositional Arthroplasty Using a Meniscus Allograft for the Treatment of Advanced Hallux Rigidus

DelaCruz, Eugene L.; Johnson, Adam R.; Clair, Benjamin L.

doi:10.1177/1938640011402821

Cited by 22 publications

(14 citation statements)

References 80 publications

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“…According to our results, we cannot compare our technique with the Brandeskeller procedure, yet it seems that there might not be similar problems with postoperative metatarsalgia or deformities with PLDLA implant. multiple graft techniques, including autogenous fascia lata, gracilis autograft, tendon allograft, amniotic membrane graft, collagenous tissue matrix, meniscal allograft, and synthetic hydrogel cartilage matrix, have all been described for mTP-1 interpositional arthroplasty with favorable outcomes (7,(21)(22)(23). Complications associated with the interpositional arthroplasty technique may include shortening of the first ray, lesser metatarsalgia, and weakness with hallux plantarflexion (24).…”

Section: Discussionmentioning

confidence: 99%

Interpositional Arthroplasty of the First Metatarsophalangeal Joint with Bioresorbable Pldla Implant in the Treatment of Hallux Rigidus and Arthritic Hallux Valgus: A 9-Year Case Series Follow-Up

et al. 2019

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Background and Aims: The interpositional arthroplasty was developed to retain foot function and to relieve pain due to the arthritis of the first metatarsophalangeal joint. The bioabsorbable poly-L-D-lactic acid RegJoint® interpositional implant provides temporary support to the joint, and the implant is subsequently replaced by the patient’s own tissue. In this study, we retrospectively examined the results of the poly-L-D-lactic acid interpositional arthroplasty in a 9-year follow-up study among patients with hallux valgus with end-stage arthrosis or hallux rigidus. Material and Methods: Eighteen patients and 21 joints underwent interpositional arthroplasty using the poly-L-D-lactic acid implant between February 1997 and October 2002 at Tampere University Hospital. Of these, 15 (83.3%) (21 joints) patients were compliant with clinical examination and radiographic examination in long-term (average 9.4 years) follow-up. The mean age of the patients was 48.3 (from 28 to 67) years at the time of the operation. Six patients underwent the operation due to arthritic hallux valgus and nine patients due to hallux rigidus. Results: The mean Ankle Society Hallux Metatarsophalangeal–Interphalangeal Scale and visual analogue scale (VAS) for pain scores improved after the operation in all patients. The decrease of pain (visual analogue scale) after the operation was statistically significant (77.5 vs 10.0; p < 0.001). Postoperative complications were observed in 3 (14.3%) joints of two hallux rigidus patients. For these patients, surgery had only temporarily relieved the pain, and they underwent reoperation with arthrodesis. Conclusion: In conclusion, interpositional arthroplasty using a poly-L-D-lactic acid implant yielded good results. This study indicates that the poly-L-D-lactic acid interpositional implant may be a good alternative for arthrodesis for treatment of end-stage degeneration of the first metatarsophalangeal joint.

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Section: Discussionmentioning

confidence: 99%

Interpositional Arthroplasty of the First Metatarsophalangeal Joint with Bioresorbable Pldla Implant in the Treatment of Hallux Rigidus and Arthritic Hallux Valgus: A 9-Year Case Series Follow-Up

et al. 2019

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“…15 Multiple graft options have been described, including autogenous fascia lata, gracilis autograft, tendon allograft, amniotic membrane graft, collagenous tissue matrix, and meniscal allograft, all with favorable outcomes. 7,8,10,11,13,15 Interpretation of this is limited, however, due to the nonuniformity of outcome measures. To date there are no highquality level I studies describing outcomes of interposition arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

Allograft Tendon Interposition Arthroplasty of the Hallux Metatarsophalangeal Joint: A Technique Guide and Literature Review

2018

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The "anchovy" interpositional arthroplasty technique can be used as a salvage option for failed hallux rigidus procedures. The operative technique utilized by the senior author is described. Careful soft-tissue handling, meticulous joint space and graft preparation, and interposition graft stabilization using a bone tunnel and suture anchors are unique aspects of this technique, which in the authors' experience have contributed to improved outcomes. Current literature regarding indications and outcomes is limited and controversial. The proposed benefits of soft-tissue interposition arthroplasty of the hallux metatarsophalangeal joint for patients with prior failed implant arthroplasty are improved pain scores and preservation of range of motion. Level of Evidence: Level V, technique guide.

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“…Некоторые авторы в качестве хирургического лечения hallux rigidus предлагают различные виды артропластики I ПФС [3,16,35,36,73,[81][82][83][84][85][86][87]. M.J. Coughlin и P.J.…”

Section: инструментальная диагностикаunclassified

“…Еще один вид артропластики I ПФС, продемонстрировавший хорошие ближайшие результаты, но требующий изучения отдаленных функциональных результатов, был предложен E.L. DelaCruz и соавт. [85] -интерпозиционная артропластика с использованием менискового аллотрансплантата.…”

Section: инструментальная диагностикаunclassified

“…Анализ результатов вышеуказанных исследований показал, что на сегодняшний день нет однозначного мнения относительно хирургического лечения ОА I ПФС, а «золотым стандартом» остается артродез I ПФС. Однако, в связи с тем что, помимо людей старше 50 лет [10], ОА I ПФС нередко страдают и более молодые пациенты, особенно женщины трудоспособного возраста, а также учитывая положительное мнение авторов, изучавших эффективность различных видов артропластики I ПФС [16,36,81,82,85,87], на наш взгляд, наиболее щадящим и перспективным вариантом суставосберегающих операций является хейлэктомия с хондропластикой I ПФС, позволяющая восстановить безболезненные движения в суставе, при этом не изменяя анатомию стопы. Хондропластика методом аутологичного матрикс-индуцированного хондрогенеза (Authologous Matrix Induced Chondrogenesis -AMIC ® ) описана при наличии дефектов хряща в коленном, тазобедренном и голеностопном суставах [28, [101][102][103].…”

Section: инструментальная диагностикаunclassified

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Principles of Surgical Treatment in Patients With Osteoarthritis of the First Metatarsophalangeal Joint

Нурмухаметов¹

2018

rsp

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At present, there is no general approach to choosing surgical tactics for hallux rigidus. Many surgical procedures are used to treat osteoarthritis (OA) of the first metatarsophalangeal joint (FMPJ), which are relevant at different stages of the disease. Nevertheless, this fact also suggests that all proposed methods have one or other disadvantages. At the same time, FMPJ arthrodesis that relieves pain and is functionally inferior to joint-sparing surgery remains the gold standard. However, due to the fact that not only persons over the age of 50 years, but also younger patients often suffer from FMPJ OA, the most non-damaging option of joint-sparing surgery is cheilectomy with chondroplasty of the FMPJ, which allows restoration of painless joint motions, thus sparing the anatomy of the foot. Chondroplasty using the authologous matrix-induced chondrogenesis (AMIC®) technique for knee, hip, and ankle cartilage defects is described. There are no reports on FMPJ chondroplasty with the AMIC method in either Russian or foreign literature.

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First Metatarsophalangeal Joint Interpositional Arthroplasty Using a Meniscus Allograft for the Treatment of Advanced Hallux Rigidus

Abstract: therapeutic, level III: retrospective review.

Cited by 22 publications

References 80 publications

Interpositional Arthroplasty of the First Metatarsophalangeal Joint with Bioresorbable Pldla Implant in the Treatment of Hallux Rigidus and Arthritic Hallux Valgus: A 9-Year Case Series Follow-Up

Interpositional Arthroplasty of the First Metatarsophalangeal Joint with Bioresorbable Pldla Implant in the Treatment of Hallux Rigidus and Arthritic Hallux Valgus: A 9-Year Case Series Follow-Up

Allograft Tendon Interposition Arthroplasty of the Hallux Metatarsophalangeal Joint: A Technique Guide and Literature Review

Principles of Surgical Treatment in Patients With Osteoarthritis of the First Metatarsophalangeal Joint

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