Hallux rigidus

Hazibullah Waizy

doi:10.1007/s00064-021-00749-0

Arthroplasty: An Option For Hallux Rigidus III

Rheumatology News ◽

10.1016/s1541-9800(06)71582-4 ◽

2006 ◽

Vol 5 (12) ◽

pp. 36

Author(s):

DOUG BRUNK

Keyword(s):

Hallux Rigidus

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A Systematic Review of Total Arthroplasty or Arthrodesis for end-stage Hallux Rigidus – A biomechanical perspective

The Foot ◽

10.1016/j.foot.2021.101838 ◽

2021 ◽

pp. 101838

Author(s):

Rohan Rajan ◽

Arya Mishra

Keyword(s):

Systematic Review ◽

Hallux Rigidus ◽

Total Arthroplasty ◽

End Stage

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Advanced Hallux Rigidus

Foot & Ankle Specialist ◽

10.1177/1938640015577078 ◽

2015 ◽

Vol 8 (2) ◽

pp. 119-124 ◽

Cited By ~ 4

Author(s):

Warren Taranow ◽

Harold Schoenhaus ◽

Rajiv Limaye ◽

W. Bret Smith ◽

...

Keyword(s):

Hallux Rigidus

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Treatment of End-Stage Hallux Rigidus and Impact of Arthrodesis versus Arthroplasty on Patient Reported Outcomes

Foot & Ankle Orthopaedics ◽

10.1177/2473011417s000129 ◽

2017 ◽

Vol 2 (3) ◽

pp. 2473011417S0001

Author(s):

Monique Chambers ◽

MaCalus Hogan ◽

Dukens LaBaze

Keyword(s):

Patient Reported Outcomes ◽

Surgical Intervention ◽

Metatarsophalangeal Joint ◽

Hallux Rigidus ◽

First Metatarsophalangeal Joint ◽

Significant Difference ◽

Patient Reported ◽

Outcome Scores ◽

Vas Scores ◽

End Stage

Category: Bunion, Midfoot/Forefoot Introduction/Purpose: Hallux rigidus is a degenerative disease of the first metatarsophalangeal joint. Severe, end-stage hallux rigidus can become debilitating with surgical intervention becoming necessary once conservative measures and shoe modifications have failed. Joint salvage procedures include metatarsal phalangeal (MTP) arthrodesis and MTP arthroplasty. The purpose of this study was to assess for differences in patient reported outcomes in two cohorts who underwent fusion or joint reconstruction. Methods: This study was a retrospective review of prospectively collected data of 385 patients from an academic medical institution. Patients who underwent surgical intervention from July 2015 to November 2016 were identified based on CPT codes for MTP arthrodesis (28750) and arthroplasty (28293). We extracted outcome scores including SF12-M, SF12-P, FAAM, and VAS scores. Exclusion criteria included poly-trauma, revision procedures, and lack of pre and post-operative outcome scores. Mann- Whitney t-test was performed using GraphPad Prism version 7.0b for Mac to compare procedure groups, with significance define by a p-value of 0.05. Results: A total of eighteen patients met the inclusion criteria, with 6 who underwent arthroplasty and 12 arthrodesis. The average age was 63.7 amongst the cohort, with a total of 16 female and 2 males. Patients who underwent arthrodesis had better outcomes across all parameters. When comparing preoperative and postoperative scores, arthrodesis patients showed greater improvement of SF12-M (arthrodesis 9 vs arthroplasty -2, p=0.05), and SF12-P (9 vs -16, respectively p=0.05) scores. Arthroplasty patients were more likely to have a decrease in their SF-12 scores. VAS scores and FAAM scores showed no statistical difference between the two cohorts. Postoperative VAS scores were worse in 33% of arthroplasty patients despite surgical intervention, compared to 10% of arthrodesis patients. Conclusion: Our results suggests that both procedures provide a statistically significant difference in pain with several patients having a Global Rate of Change that is “very much better”. However, fusion of the metatarsophalangeal joint results in improved pain and functional outcomes for patients with severe hallux rigidus. These findings are consistent with current reports in the literature, which are mostly case series reports. Larger studies are needed to provide appropriate power and better support the findings of this study.

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Die Cheilektomie und Operation nach Kessel-Bonney zur Behandlung des initialen Hallux rigidus

Operative Orthopädie und Traumatologie ◽

10.1007/s00064-008-1504-7 ◽

2008 ◽

Vol 20 (6) ◽

pp. 484-491 ◽

Cited By ~ 9

Author(s):

Carsten Wingenfeld ◽

Mona Abbara-Czardybon ◽

Dariusch Arbab ◽

Daniel Frank

Keyword(s):

Hallux Rigidus ◽

Operation Nach

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One-year Follow-Up Results with Hydrogel Implant in Therapy of Hallux Rigidus: Case Series with 44 Patients

Zeitschrift für Orthopädie und Unfallchirurgie ◽

10.1055/a-1365-9655 ◽

2021 ◽

Author(s):

Christoph Zanzinger ◽

Norbert Harrasser ◽

Oliver Gottschalk ◽

Patrick Dolp ◽

Florian Hinterwimmer ◽

...

Keyword(s):

Learning Algorithm ◽

Case Series ◽

Metatarsophalangeal Joint ◽

Hallux Rigidus ◽

Therapy Failure ◽

Retrospective Case ◽

Aofas Score ◽

Medium Level ◽

One Year

Abstract Background The Cartiva implant (CI) is being increasingly used in the surgical therapy of hallux rigidus. Despite a growing number of studies, numerous questions regarding patient selection remain unanswered. Patients and Methods As part of a retrospective case series with prospective follow-up (average follow-up period: 12 months), a total of 44 patients (male/female = 16/28; mean age at the time of surgery: 55.4 years) with 44 CI were analysed (VAS, EFAS-, AOFAS-score). Using a correlation analysis and a machine learning algorithm, risk factors for therapy failure were investigated. Results The overall survival rate of the CI was 93% at 12 months. The VAS, EFAS and AOFAS scores showed a significant improvement in comparison to the preoperative condition. The mobility of the metatarsophalangeal joint showed no increase. Patients with a medium osteoarthritis grade and a medium level of clinical restraint showed the greatest improvement in relation to their preoperative condition. Conclusion The CI can be seen as an effective therapy for hallux rigidus. Nonetheless, realistic patient expectations must be communicated.

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