Fusion vs. Arthroplasty in the Treatment of 1st MTP Arthritis

Tan, Jensen C. C.; Yee, Gilbert; Lau, Johnny

doi:10.1002/9781444345100.ch35

Cited by 1 publication

(2 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 Despite technological advances in joint reconstruction and continued interest in alternative surgical options, the paucity of successful longterm outcomes after MTPJ arthroplasty meant that arthrodesis is still the gold standard surgical option. 2,3 Arthrodesis is also usually the revision operation of choice in patients with failed arthroplasty, albeit more technically challenging. Gait analysis after first MTPJ arthrodesis has also been shown to produce objective improvement in propulsive power, weightbearing function of the foot, and stability during gait.…”

Section: Discussionmentioning

confidence: 99%

“…irst metatarsophalangeal joint (MTPJ) arthritis is known to affect health-related quality of life. 1 Despite ongoing interest in alternative procedures such as arthroplasty, arthrodesis of the MTPJ continues to be the gold standard, 2,3 especially in young and highdemand patients. Various techniques and implants are available and have been used to achieve union but the "ideal" one remains elusive.…”

mentioning

confidence: 99%

See 1 more Smart Citation

First Metatarsophalangeal Joint Arthrodesis Using Memory Staples: Clinical and Functional Results

Challagundla

Thomas

Ferdinand

et al. 2020

Foot & Ankle Specialist

View full text Add to dashboard Cite

Background. We present clinical and functional results of first metatarsophalangeal joint (MTPJ) arthrodesis using Memory staples. Methods. This retrospective observational study reviewed MTPJ arthrodesis with Memory staples from 2012 to 2016. Results. The mean age of 50 patients (55 feet) was 63 years (range 41-77 years). Forty-one feet were in women. Indication was hallux rigidus (n = 49) and hallux valgus (n = 6). The overall union rate was 98.2% (n = 54 of 55), including delayed healing in 3 (5.5%). The average time to union was 12 weeks. At a mean follow-up of 38 months (range 12-73 months), the mean Foot and Ankle Ability Measure score (47 out of 55, 86% response rate) was 87% (interquartile range 78%-100%). Complications included partial laceration of extensor hallucis longus (n = 1), wound infection (n = 4), wound-related (n = 2), lesser metatarsalgia (n = 3), cock up deformity (n = 1), and pain (n = 3). Conclusions. The high union rate, good patient satisfaction scores, and low rate of complications support our use of Memory staples. Levels of Evidence: Therapeutic, Level IV

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%