Long term results of the Toefit-Plus replacement for first metatarsophalangeal joint arthritis

Gupta, Shreekant; Masud, S.

doi:10.1016/j.foot.2017.04.006

Cited by 12 publications

(5 citation statements)

References 10 publications

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“…Infections are reported to be an exclusion criterion for the arthrodesis and can only be managed after screw removal. 11 However, the first MTPJ arthrodesis using the human, allogeneic cortical bone screw with concomitant debridement of the ulcerative tissue was performed in the same session. The ulceration completely healed with an additional antibiotic treatment.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiologic Outcome of First Metatarsophalangeal Joint Arthrodesis Using a Human Allogeneic Cortical Bone Screw

Hanslik-Schnabel¹,

Flöry²,

Borchert

et al. 2022

Foot & Ankle Orthopaedics

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Background: Different fixation techniques are established for first metatarsophalangeal joint (MTPJ) arthrodesis, including compression screws, plates, Kirschner wires, metal- and bioabsorbable screws as well as staples. The purpose of this study was to investigate and present first clinical and radiologic results using a novel human, allogeneic cortical bone screw for arthrodesis of the first MTPJ. Methods: Arthrodesis of the first MTPJ was performed in 31 patients with hallux rigidus. Percentage union and time to union were the first outcomes; visual analog scale for pain, hallux valgus angle (HVA), intermetatarsal angle, and American Orthopaedic Foot & Ankle Society (AOFAS) hallux score were secondary outcomes. Results: Median time to union was 89 days, and union was observed in all patients. There were 4 complications (2 osteolysis margin, 1 cystic brightening, and 1 severe swelling at the first follow-up) all of that resolved at last follow-up. Pain significantly decreased from visual analog scale 8.0 to 0.2 points ( P < .0001). The HVA decreased from 30.4 to 10.2 degrees in the patient group with deformities. The total AOFAS score increased significantly from 48 to 87 ( P < .0001). Conclusion: Primary and revision arthrodesis of hallux rigidus with the human, allogeneic cortical bone screw reveals satisfying results similar to clinical and radiologic outcomes of other surgical techniques. Within 1 year, the human, allogeneic cortical bone screw is fully remodeled to host bone. Level of Evidence: Level IV, retrospective case series without control group.

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Section: Discussionmentioning

confidence: 99%

Clinical and Radiologic Outcome of First Metatarsophalangeal Joint Arthrodesis Using a Human Allogeneic Cortical Bone Screw

Hanslik-Schnabel¹,

Flöry²,

Borchert

et al. 2022

Foot & Ankle Orthopaedics

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“…Totální náhrada prvního metatarzofalangeálního skloubení (MTP) byla mnohokrát diskutována v odborné literatuře (8,9,10,15). Za posledních 50 let vývoje byla postupně představena a zavedena do praxe celá řada modelů těchto náhrad s nejrůznějšími výsledky.…”

Section: úVodunclassified

“…Výsledné změny v dynamice chůze a rozložení zátěže v oblasti přednoží po implantaci totální náhrady I. MTP kloubu zůstávají nejasné. V odborné literatuře se můžeme setkat s hodnocením různých typů totálních náhrad I. MTP kloubů (8,9,10), avšak jen minimum studií se zabývá změnou zátěže nohy po operaci. Jednou z možností vyhodnocení změny zátěže chodidla je i měření změny zátěže na jednotlivé tlakové pole chodidla pomocí dynamického pedobarografu (14,17).…”

Section: úVodunclassified

Total Replacement of the First Metatarsophalangeal Joint by Medin PH-Flex and Its Effect on Forefoot Biomechanics in the Propulsion Phase of the Gait Cycle

POPELKA ML.,

BARTÁK,

MAZURA

et al. 2023

ACHOT

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PURPOSE OF THE STUDYTotal arthroplasty of the first metatarsophalangeal joint is one of the surgical treatment options for patients with advanced hallux rigidus. This study evaluates the pressure changes in the propulsion phase of the gait cycle using dynamic pedobaro graphy after the total arthroplasty of the first metatarsophalangeal joint by Medin PHFlex and their comparison with the control groups of patients with hallux rigidus and with asymptomatic patients.

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Section: Introductionmentioning

confidence: 99%

“…40 Silicone, ceramic, and metallic hemi-and total-joint implants have high rates of revision associated with fragmentation, loosening, malalignment, subluxation, and reactive inflammatory and cystic pathology, which makes these implants poor choices in comparison with arthrodesis. 22,28,44,46,53,54,56,58 In an effort to offer the patient with hallux rigidus an alternative to fusion, various techniques for an "interposition arthroplasty" have been proposed. Interposition arthroplasty is a modification of the Keller resection arthroplasty with the addition of a "spacer," a modification intended to make the procedure a viable option for the more active patient.…”

Section: Introductionmentioning

confidence: 99%

Outcomes Following Interposition Arthroplasty of the First Metatarsophalangeal Joint for the Treatment of Hallux Rigidus: A Systematic Review

Emmons

Carreira

2019

Foot & Ankle Orthopaedics

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Background: Interposition arthroplasty of the first MTP joint has recently experienced renewed interest as a treatment for hallux rigidus. The purpose of this study was to systematically review the rapidly expanding literature on PRO following interposition arthroplasty of the first MTP joint. Methods: PubMed Central, Embase, and the Cochrane Central Register for Controlled Trials (CENTRAL) were searched. Inclusion criteria included length of time to follow-up, number of patients, outcome measure, and use of allogeneic or autogenous soft tissue or a synthetic matrix as interposition. Results: 20 studies were included in the review, comprising 498 patients and 539 feet with mean time to follow-up of 4.5 years. The most common substance used for interposition in the included studies was autogenous first MTPJ capsular tissue, a technique reported on in 12 (60.0%) of the included articles. In studies reporting preoperative and postoperative outcomes by way of a standardized outcome scoring system, mean group improvements exceed minimal clinically important differences in the majority of studies. Eighty-five percent of the studies included in this review were of Level IV quality evidence, and of this subset of studies, 70.6% were of a retrospective nature. Progression to further surgery was observed in 3.8% of toes. The most common complication reported was transfer metatarsalgia of 1 or more lesser toes, observed in up to 57.9% of patients in one study. Conclusion: Interposition arthroplasty appears to be a viable option for the treatment of moderate to severe hallux rigidus in patients looking to salvage motion through the first metatarsophalangeal joint. A wide array of autogenous, allogeneic, and synthetic implant materials have surfaced in recent years, but long-term follow-up and prospective, comparative study designs with low risk of bias are limited.

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Long term results of the Toefit-Plus replacement for first metatarsophalangeal joint arthritis

Cited by 12 publications

References 10 publications

Clinical and Radiologic Outcome of First Metatarsophalangeal Joint Arthrodesis Using a Human Allogeneic Cortical Bone Screw

Clinical and Radiologic Outcome of First Metatarsophalangeal Joint Arthrodesis Using a Human Allogeneic Cortical Bone Screw

Total Replacement of the First Metatarsophalangeal Joint by Medin PH-Flex and Its Effect on Forefoot Biomechanics in the Propulsion Phase of the Gait Cycle

Outcomes Following Interposition Arthroplasty of the First Metatarsophalangeal Joint for the Treatment of Hallux Rigidus: A Systematic Review

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