Minimal resection interposition arthroplasty of the first metatarsophalangeal joint

Givissis, Panagiotis; Symeonidis, Panagiotis D.; Kitridis, Dimitrios; Daskalakis, Dimitrios; Christodoulou, Anastasios

doi:10.1016/j.foot.2017.03.004

Cited by 11 publications

(11 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most common complication reported was transfer metatarsalgia of 1 or more lesser toes, with the range of incidence from 0.0% to 57.9%. Less frequent complications reported included calluses under the lesser metatarsal heads (27.3%-42.8%), 15,34 stress fracture of one of the lesser toes resulting from transfer metatarsalgia (4.8%-9.1%), 10,21,23,31,34 sensory neuroma or hyperpigmentation at the site of autograft harvesting (6.7%-14.3%), 15,21 radiographic evidence of osteonecrosis of the first metatarsal head (7.7%-40.8%), 10,51 numbness at the dorsum of the hallux or generalized hypoesthesia of the hallux (9.1%-15.8%), 10,45,51 infection with or without need for subsequent debridement (1.5%-6.7%), 2,20,21 cock-up deformity (4.5%), 2 proximal phalangeal cystic development (8.7%), 16 claw-toe deformity (5.6%), 20 extensor hallucis longus (EHL) tendon entrapment (3.1%), 27 capsular ossification (4.5%), 51 and regional pain syndrome (4.5%). 51…”

Section: Resultsmentioning

confidence: 99%

“…11 Of the 8 studies reporting preoperative and postoperative scores by way of an unmodified AOFAS-HMI scale, 6 (75.0%) reported mean improvement in the AOFAS-HMI total score exceeding 30.2 points, with the 2 additional studies reporting mean improvements of 23.0 and 24.6, respectively. 10,15,17,20,27,45,51,55 The validated Foot Function Index (FFI), Foot and Ankle Ability Measure (FAAM), the Visual Analog Scale for Pain (Pain VAS), and the Short Form–36 Health Survey (SF-36) were the next most commonly used standardized outcome scoring measures. Of the 4 studies reporting pre and postoperative scores by one of these measures, all reported mean improvements exceeding the MCIDs for their respective scoring systems (MCIDs: FAAM-ADL, 8; FAAM-Sports, 9; Pain VAS, ≥30% difference; FFI-Total, 7).…”

Section: Resultsmentioning

confidence: 99%

“…23,48,60 The remaining studies reported interposition of a number of allogeneic and autogenous soft tissue types and synthetic matrices (Table 1). 2,15,16,17,20,21,27,29,55 After 2010, a trend was noted toward increased usage of interpositional substances other than autogenous first MTPJ capsule (61.5% of studies after 2010 vs 7.7% of studies up through 2010).…”

Section: Interposition Materials and Metatarsophalangeal Joint Decomprmentioning

confidence: 99%

“…for subsequent debridement (1.5%-6.7%), 2,20,21 cock-up deformity (4.5%), 2 proximal phalangeal cystic development (8.7%), 16 claw-toe deformity (5.6%), 20 extensor hallucis longus (EHL) tendon entrapment (3.1%), 27 capsular ossification (4.5%), 51 and regional pain syndrome (4.5%). 51 In the 14 studies explicitly describing need for further surgery on the ipsilateral first MTPJ, 15 (3.8%) toes progressed to a subsequent operation.…”

Section: Complications and Reoperationmentioning

confidence: 99%

See 3 more Smart Citations

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

Emmons

Carreira

2019

Foot & Ankle Orthopaedics

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Interposition Materials and Metatarsophalangeal Joint Decomprmentioning

confidence: 99%

Section: Complications and Reoperationmentioning

confidence: 99%

See 2 more Smart Citations

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

Emmons

Carreira

2019

Foot & Ankle Orthopaedics

View full text Add to dashboard Cite

show abstract

“…There have been a number of studies showing favorable short- and long-term outcomes as an index procedure for advanced hallux rigidus. 12 A recent case series reported 5-year outcomes following interposition arthroplasty with a regenerative tissue matrix. AOFAS scores ranged from 58 to 68 at 5-year follow-up.…”

Section: Discussionmentioning

confidence: 99%

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

2018

View full text Add to dashboard Cite

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.

show abstract

Clinical applications of allografts in foot and ankle surgery

Diniz

Pacheco

Flora

et al. 2019

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The purpose of this review is to systematically analyse current literature on the use of allografts in the surgical treatment of foot and ankle disorders in adult patients. Based on this study, we propose evidence‐based recommendations. Methods The database for PubMed was searched for all published articles. No timeframe restrictions were applied. Clinical studies eligible for inclusion met the following criteria: performed on patients over 18 years old; subject to surgical treatment of foot and ankle disorders; with report on the outcome of the use of allografts; with a report and assessment of pain and function, or equivalent; minimum follow‐up of 1 year was required. Two reviewers independently screened and selected studies for full‐text analysis from title and abstract. 107 studies were included from 1113 records. Studies were grouped according to surgical indications into ten categories: musculoskeletal tumours (n = 16), chronic ankle instability (n = 15), ankle arthritis (n = 14), osteochondral lesions of the talus (n = 12), Achilles tendon defects (n = 11), other tendon defects (n = 9), fusions (n = 9), fractures (n = 8), hallux rigidus (n = 3) and other indications (n = 10). Results Most studies displayed evidence level of IV (n = 57) and V (n = 39). There was one level I, one level II and nine level III studies. Most studies reported allografting as a good option (n = 99; 92.5%). Overall complication rate was 17% (n = 202). Conclusions Fair evidence (Grade B) was found in favour of the use of allografts in lateral ankle ligament reconstruction or treatment of intra‐articular calcaneal fracture. Fair evidence (Grade B) was found against the use of allogeneic MSCs in tibiotalar fusions. Level of evidence V.

show abstract

Minimal resection interposition arthroplasty of the first metatarsophalangeal joint

Cited by 11 publications

References 33 publications

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

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

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

Clinical applications of allografts in foot and ankle surgery

Contact Info

Product

Resources

About