Short-Term Clinical Outcome of Hemiarthroplasty Versus Arthrodesis for End-Stage Hallux Rigidus

Simons, Karin H.; Woude, Pieter van der; Faber, Frank; Kampen, Paulien M. van; Thomassen, Bregje J.W.

doi:10.1053/j.jfas.2015.01.008

Cited by 14 publications

(7 citation statements)

References 20 publications

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“…Previous studies showed a significant decrease in VAS-pain scores from values ranging between 6.2 and 8.7 preoperatively to 0.4 and 2.7 postoperatively, with in general lower VAS-pain scores in studies with a longer follow-up period. 2,3,5,14,19,20,23,39,47,50,53 The results presented in this study were in line with the literature and also demonstrate a further improvement in pain relief over time after arthrodesis of the MTP1 joint. This pain-reducing effect in HR is also reported for cheilectomy, reducing pain scores from values between 7.1 and 8.1 preoperatively to values between 1.1 and 2.2 postoperatively 5,14,31,36,37,42,51 ; no other study except the study of Beertema et al previously reported VAS-pain scores after Keller’s arthroplasty.…”

Section: Discussionsupporting

confidence: 91%

Long-term Effects of Cheilectomy, Keller’s Arthroplasty, and Arthrodesis for Symptomatic Hallux Rigidus on Patient-Reported and Radiologic Outcome

et al. 2020

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Background: Several operative interventions are available to alleviate pain in hallux rigidus, and the optimal operative technique is still a topic of debate among surgeons. Three of these are arthrodesis, cheilectomy, and Keller’s arthroplasty. Currently, it is unclear which intervention yields the best long-term result. The aim of this study was to assess which of these interventions performed best in terms of patient-reported outcome, pain scores, and disease recurrence at long-term follow-up. Methods: These data are the follow-up to the initial study published in 2006. In the original study, 73 patients (n = 89 toes) with symptomatic hallux rigidus were recruited and underwent first metatarsophalangeal joint arthrodesis (n = 33 toes), cheilectomy (n = 28 toes), or Keller’s arthroplasty (n = 28 toes). Outcome measures were AOFAS hallux metatarsophalangeal-interphalangeal (HMI) score, and pain was assessed with a visual analog scale (VAS) at a mean follow-up period of 7 years. Patients of the original study were identified and invited to participate in the current study. Data were collected in the form of AOFAS-HMI score, VAS pain score, Manchester-Oxford Foot Questionnaire (MOXFQ), and Forgotten Joint Score (FJS-12). In addition, a clinical examination was performed and radiographs were obtained. Data were available for 37 patients (45 toes), with a mean follow-up period over 22 years. Results: AOFAS-HMI and VAS pain score improved during follow-up only in arthrodesis patients. Furthermore, no statistically significant differences in clinical and patient-reported outcome were detected between groups based on AOFAS-HMI, VAS pain, MOXFQ, or FJS-12. However, clinically important differences in patient-reported outcomes and pain scores were detected, favoring arthrodesis. Radiographic disease progression was more evident after cheilectomy compared with Keller’s arthroplasty. Conclusion: Arthrodesis, cheilectomy, and Keller’s arthroplasty are 3 sucessful operative interventions to treat symptomatic hallux rigidus. Because clinically important differences were detected and symptoms still diminish many years after surgery, a slight preference was evident for arthrodesis. Level of Evidence: Level III, comparative study.

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Section: Discussionsupporting

confidence: 91%

Long-term Effects of Cheilectomy, Keller’s Arthroplasty, and Arthrodesis for Symptomatic Hallux Rigidus on Patient-Reported and Radiologic Outcome

et al. 2020

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“…Other studies on this topic have evaluated patients using the American Orthopaedic Foot & Ankle Society-Hallux Metatarsophalangeal Interphalangeal score (AOFAS-HMI). 6,9,11 We did not use this scoring system as one of the variables scored is range of movement at the MTPJ, which is irrelevant after fusion. Use of the VAS-FA should have eliminated any bias in favor of arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

“…1 Several studies have evaluated their use although none to date have provided high-quality evidence and failed to show a benefit over arthrodesis. 2,9,11 One of the perceived advantages of joint replacement over arthrodesis is that patients maintain joint movement. However, this is not always the case.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Follow-up of Arthrodesis vs Total Joint Arthroplasty for Hallux Rigidus

et al. 2016

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“…MTPJ arthrodesis also has its own complications, including nonunion (4% to 14%), malunion, and wound infections. [21][22][23][24][26][27][28]35,36 Overall, arthrodesis has been reported to produce better improvement in clinical outcomes, greater reduction in pain, and lower rates of intervention-related complications and revision surgery compared with total arthroplasty or hemiarthroplasty in symptomatic HR. 37 In our review, we found that 4% of patients treated with total joint arthroplasty and 1.6% of patients treated with hemiarthroplasty required reoperation with MTPJ arthrodesis.…”

Section: Complicationsmentioning

confidence: 99%

Hemiarthroplasty Versus Total Joint Arthroplasty for Hallux Rigidus: A Systematic Review and Meta-analysis

Stibolt

Patel

Lehtonen

et al. 2018

Foot & Ankle Specialist

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Short-Term Clinical Outcome of Hemiarthroplasty Versus Arthrodesis for End-Stage Hallux Rigidus

Cited by 14 publications

References 20 publications

Long-term Effects of Cheilectomy, Keller’s Arthroplasty, and Arthrodesis for Symptomatic Hallux Rigidus on Patient-Reported and Radiologic Outcome

Long-term Effects of Cheilectomy, Keller’s Arthroplasty, and Arthrodesis for Symptomatic Hallux Rigidus on Patient-Reported and Radiologic Outcome

Long-Term Follow-up of Arthrodesis vs Total Joint Arthroplasty for Hallux Rigidus

Hemiarthroplasty Versus Total Joint Arthroplasty for Hallux Rigidus: A Systematic Review and Meta-analysis

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