Hemiphalengectomy and Syndactylization for Treatment of Osteoarthritis and Dislocation of the Second Metatarsal Phalangeal Joint: An Outcome Study

Feeney, Sally; Rees, S.; Tagoe, Mark

doi:10.1053/j.jfas.2005.12.003

Cited by 7 publications

(1 citation statement)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Soft tissue releases with and without capsular imbrication, 13 radiofrequency capsular shrinkage, 2 tendon transfers, 15,18,22,27,37 and plantar plate repairs 7,10,25,31 are commonly performed for mild to moderate deformities without second metatarsal phalangeal joint arthritis. For severe deformities with arthritic change and dislocation, metarsophalangeal joint resection arthroplasty, 3,5 shortening metatarsal osteotomies, 12,22,32,35,38,39 partial proximal phalangectomies with syndactylization, 16,33 and second toe amputations have all been described. 19,41 After any of these procedures, pain is not uncommon, and the reasons for it remain poorly understood.…”

mentioning

confidence: 99%

Concomitant First and Second Metatarsophalangeal Arthrodesis for Intractable Second Metatarsophalangeal Joint Pain

Hirose¹,

Gamboa

Coughlin³

2014

Foot Ankle Int.

View full text Add to dashboard Cite

Intractable second metatarsophalangeal (MTP) joint pain remains an unsolved problem. Many procedures have been described and executed to address the pain and deformity of this joint. Soft tissue releases with and without capsular imbrication, 13 radiofrequency capsular shrinkage, 2 tendon transfers, 15,18,22,27,37 and plantar plate repairs 7,10,25,31 are commonly performed for mild to moderate deformities without second metatarsal phalangeal joint arthritis. For severe deformities with arthritic change and dislocation, metarsophalangeal joint resection arthroplasty, 3,5 shortening metatarsal osteotomies, 12,22,32,35,38,39 partial proximal phalangectomies with syndactylization, 16,33 and second toe amputations have all been described. 19,41 After any of these procedures, pain is not uncommon, and the reasons for it remain poorly understood. Despite the large number of treatment options that are available, problems still exist, 13,30,34,36 and as a result, we often return to conservative treatment and counseling for this failure.The foot and ankle literature has documented that first MTP joint arthrodesis for grade 3 and 4 hallux rigidus has excellent results. 8,11,14,20,26 We describe our technique of first and second MTP arthrodesis in patients who would have otherwise undergone various other reconstructive options that have been met with mixed results.Level of Evidence: Level V, expert opinion.

show abstract