Small Joint Arthroscopy of the Foot

Derner, Richard; Naldo, Jason

doi:10.1016/j.cpm.2011.05.004

Cited by 17 publications

(8 citation statements)

References 15 publications

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“…Hallux valgus can be managed via open or arthroscopic surgery, depending on patient characteristics and disease stage [14, 15]. Derner and Aldo showed that arthroscopic surgery was more beneficial than open surgery by being minimally invasive, having a shorter recovery period, requiring no special rehabilitation program, and allowing patients to return to daily activities quickly [16–18]. We achieved fast return to work with the arthroscopic approach in suitable patients since this approach caused no complications and allowed joint loading with as much weight as tolerated on the same day of surgery as mentioned in the literature [16, 17].…”

Section: Discussionmentioning

confidence: 99%

“…Arthroscopic treatment of the MTP joint is used alone or in conjunction with metatarsal osteotomies for the treatment of a wide array of conditions such as synovitis, hallux rigidus, gout, and degenerative hallux valgus [16]. However, there is still insufficient information about the principles of the evaluation and treatment of these patients.…”

Section: Discussionmentioning

confidence: 99%

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Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

Kuyucu

Mutlu

et al. 2017

J Orthop Surg Res

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BackgroundAlthough arthroscopic surgical treatment of the first metatarsophalangeal (MTP) joint involves painful sesamoid excision, synovectomy, debridement, and partial cheilectomy, no gold standard treatment technique has been defined in the literature for hallux rigidus and focal osteochondral lesions. This study aimed to assess the arthroscopic treatment for early-grade focal osteochondral lesions of the first MTP joint and to determine the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in a group of patients who failed conservative treatment.MethodsThis prospective study included 14 patients with hallux rigidus and focal osteochondral lesions of the first MTP joint who underwent surgery in 2014 and were followed on a regular basis thereafter.ResultsThe patients had mean preoperative VPS (visual pain scale) and AOFAS (American Orthopedic Foot and Ankle Society)-Hallux scores of 8.14 ± 0.86 SD and 48.64 ± 4.27, respectively; the corresponding postoperative values of both scores were 1.86 ± 0.66 SD and 87.00 ± 3.70, respectively. Both VPS and AOFAS-Hallux scores changed significantly.DiscussionIn this prospective study, we explored the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in patients with focal osteochondral lesions of the first MTP joint. Our results showed significant improvements in VPS and AOFAS scores with this treatment.ConclusionsAn arthroscopic microhole drill technique can be used with impressive functional scores and without any complications in patients who failed conservative therapy for hallux rigidus with focal chondral injury.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

Kuyucu

Mutlu

et al. 2017

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…We first applied conservative treatment in the whole patient group, and we proceeded with surgery when that treatment failed. Hallux valgus can be managed via open or arthroscopic surgery, depending on patient characteristics and disease stage [14, 15] Derner and Aldo showed that arthroscopic surgery was more beneficial than open surgery by being minimally invasive, having a shorter recovery period, requiring no special rehabilitation program, and allowing patients to return to daily activities quickly [16–18]. We achieved fast return to work with the arthroscopic approach in suitable patients since this approach caused no complications and allowed joint loading with as much weight as tolerated on the same day of surgery as mentioned in the literature [16, 17].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

Kuyucu

Mutlu

et al. 2017

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundAlthough arthroscopic surgical treatment of the first metatarsophalangeal (MTP) joint involves painful sesamoid excision, synovectomy, debridement, and partial cheilectomy, no gold standard treatment technique has been defined in the literature for hallux rigidus and focal osteochondral lesions. This study aimed to assess the arthroscopic treatment for early grade focal osteochondral lesions of the first MTP joint and to determine the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in a group of patients who failed conservative treatment.MethodsThis prospective study included 14 patients with hallux rigidus and focal osteochondral lesions of the first MTP joint who underwent surgery in 2014 and were followed on a regular basis thereafter.ResultsThe patients had mean preoperative VPS (visual pain score) and AOFAS (American Orthopedic Foot and ankle Society)-Hallux scores of 8.14 ± 0.86 SD and 48.64 ± 4.27, respectively; the corresponding postoperative values of both scores were 1.86 ± 0.66 SD and 87.00 ± 3.70. Both VPS and AOFAS-Hallux scores changed significantly.DiscussionIn this prospective study, we explored the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in patients with focal osteochondral lesions of the first MTP joint. Our results showed significant improvements in VPS and AOFAS scores with this treatment.ConclusionsAn arthroscopic microhole drill technique can be used with impressive functional scores and without any complications in patients who failed conservative therapy for hallux rigidus with focal chondral injury.

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“…It was conducted by directly using a distraction tower without a weight. Unlike the previous report [2][3][4] , the novel machine devised by the authors has the advantage of being able to visually check the strength of traction and to be freely adjustable depending on the situation. Another advantage was that the traction strength could be kept constant.…”

Section: Discussionmentioning

confidence: 99%

“…Several different skeletal and soft tissue traction techniques have been introduced, including distraction methods using manual distraction 2 , mini external xator 3 and Kirshner wire 4 . Other methods using nger trap and positioning arm have also been devised 5 .…”

Section: Introductionmentioning

confidence: 99%

Appropriate Distraction Strength For Metatarsophalangeal Joint Arthroscopy

Kim

Kim²,

Lee

2021

Preprint

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This study is to investigate the natural metatasophalangeal joint (MTP) distance, the appropriate degree of distraction and the associated factors including age, gender, body mass index(BMI). Regarding natural MTP joint space size, the MTP-2 joint had the largest joint size (2.39 ± 0.37 mm). The MTP-5 joint had the smallest joint size (1.59 ± 0.34 mm). In MTP joint arthroscopy, traction power of 10 lbs is sufficient for appropriate distraction for all MTP joints while traction power of 5 lbs is an appropriate power for distraction of the MTP-2 joint. Manual traction is generally not appropriate for distraction because it is not consistent or sufficient. Less distraction power is required for males than for females, especially for MTP-1, MTP-3, and MTP-4 joints.

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Small Joint Arthroscopy of the Foot

Cited by 17 publications

References 15 publications

Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

Appropriate Distraction Strength For Metatarsophalangeal Joint Arthroscopy

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