scholarly journals Correction to: Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Ersin Kuyucu ◽  
Harun Mutlu ◽  
Serhat Mutlu ◽  
Baris Gülenç ◽  
Mehmet Erdil
Keyword(s):  
Metatarsophalangeal Joint ◽  
Arthroscopic Treatment ◽  
Osteochondral Lesions ◽  
First Metatarsophalangeal Joint ◽  
Production Error

This article [2] was published twice [1] due to a production error. The original article [1] should be considered the version of record and used for citation purposes. The publisher apologizes to the authors and readers for the error and any inconvenience caused.

scholarly journals Arthroscopic Treatment of Focal Osteochondral Lesions of the First Metatarsophalangeal Joint

2017 ◽  
Vol 5 (2_suppl2) ◽  
pp. 2325967117S0006
Author(s):  
Ersin Kuyucu ◽  
Barış Gülenç ◽  
Mehmet Erdil ◽  
Yavuz Kocabey
Keyword(s):  
Prospective Study ◽  
Daily Life ◽  
Hallux Rigidus ◽  
Arthroscopic Treatment ◽  
Osteochondral Lesions ◽  
First Metatarsophalangeal Joint ◽  
Functional Scores ◽  
The Mean ◽  
The Impact

Background: This study aimed to assess the arthroscopic treatment, one of the surgical treatment options, for early grade focal osteochondral lesions of the first MTP joint, and to determine the impact of the arthroscopic microdrill hole surgery on foot function and daily life in a patient group with failed conservative treatment. Materials-Methods: This prospective study reviewed 27 patients having hallux rigidus with osteochondral injury of the first MTP joint who were operated with first MTP joint arthroscopy. Six patients had Coughlin-Shurnas grade 4 hallux rigidus and were excluded from the study; 5 patients were excluded due to having an arthroscopic kissing lesion, and 3 patients were excluded for not having attended regular follow-up after third month. After excluding the above patients, the study was completed with 14 patients Results: The mean hallux vagus angle was 13.29⁰ (±1.93 SD) and the mean intermetatarsal angle was 9.14⁰ (±0.86 SD). Apart from joint arthroscopy, no soft tissue procedure and/or any procedure requiring osteotomy was intended in any patient. The median operative duration was 27.8 (19-56) minutes.The patients had mean preoperative VPS and AOFAS-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 (p<0.01) Discussion: In this prospective study we explored the impact of arthroscopic microdrill hole surgery on foot functions and daily life activities in patients with focal osteochondral lesions of the first MTP joint. Our results indicated significant improvements in VAS and AOFAS scores with this treatment. The micro drill technique we applied in this study is based on the principle of opening 4-6-mm long tunnels to enable stem cells to migrate to the defected area and achieve cure by differentiation in full-thickness chondral injuries with exposed subchondral bone.In conclusion, arthroscopic microhole drill technique can be applied with impressive functional scores and without any complication in persons who failed conservative therapy for hallux rigidus with focal chordal injury, a common foot problem. There is a need for comparative studies with long follow-up period in this field.

scholarly journals First Metatarsophalangeal Joint Arthroscopy for Osteochondral Lesions

2016 ◽  
Vol 5 (3) ◽  
pp. e513-e518 ◽  
Author(s):  
Thomas I. Sherman ◽  
Michael Kern ◽  
John Marcel ◽  
Alexander Butler ◽  
Francis X. McGuigan
Keyword(s):  
Metatarsophalangeal Joint ◽  
Osteochondral Lesions ◽  
First Metatarsophalangeal Joint

scholarly journals TL 18177 - Epidemiological profile of sesamoid disorders of the first metatarsophalangeal joint

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 103S
Author(s):  
Marcelo Rassweiler Hardt ◽  
André Bergamaschi Demore ◽  
Antônio Kim ◽  
Leandro Marcantonio Camargo ◽  
Carolina Claudino Barbosa ◽  
...  
Keyword(s):  
Metatarsophalangeal Joint ◽  
Exclusion Criterion ◽  
Osteochondral Lesions ◽  
First Metatarsophalangeal Joint ◽  
Unified Health System ◽  
Sesamoid Bones ◽  
Reference Hospital ◽  
Gait Abnormalities ◽  
Epidemiological Profile ◽  
Epidemiological Characteristics

Introduction: The sesamoid bones are part of the hallux metatarsophalangeal (MTTF) joint complex and are an important factor in the normal biomechanics of gait. Abnormalities of the sesamoid bones are not rare but are often underestimated and include acute fractures, osteochondral lesions, bipartite sesamoids, recurrent traumatic sesamoiditis or infection, in addition to osteoarthritis. Given the lack of recent studies on the epidemiological profile of sesamoid-related diseases, the objective of this study is to identify the epidemiological characteristics of patients with these disorders. Methods: The study was approved by the research ethics committee and registered in the Brazil Platform (Plataforma Brazil). This retrospective study was performed by reviewing the electronic charts of foot and ankle outpatients diagnosed with sesamoiditis and acute or stress fractures between February 1, 2013 and January 31, 2018. The exclusion criterion used was the presence of incomplete records in the electronic chart. The following variables were analyzed: sex, age, occupation, participation in sports, laterality and affected sesamoid bone (medial or lateral). The data collected were tabulated and saved in an Excel spreadsheet and analyzed using descriptive statistics. Results: Data on 108 patients were collected after reviewing the charts. Based on these data, we report the epidemiological characteristics of patients with sesamoid disorders in a sample of orthopedic patients from a reference hospital of the Unified Health System (Sistema Único de Saúde – SUS) in a city in southern Brazil. Among the various occupations reported, the 3 most common were cleaner (29), student (23) and salesperson (16). Among the subjects who participated in sports, only 22 were involved in competitive sports (professional or amateur).

Correlation analysis of the x-ray and functional parameters from the results of chevron (Austin) osteotomy for hallux valgus

2020 ◽  
pp. 54-63
Author(s):  
Ruslan Khairutdinov ◽  
Timur Minasov ◽  
Ekaterina Yakupova ◽  
Elvina Mukhametzyanova
Keyword(s):  
Hallux Valgus ◽  
Rating Scale ◽  
Metatarsophalangeal Joint ◽  
Valgus Deformity ◽  
First Metatarsophalangeal Joint ◽  
Chevron Osteotomy ◽  
Hallux Valgus Deformity ◽  
Valgus Angle ◽  
The Right ◽  
Bone Structures

Hallux valgus is characterized by the appearance and growth of a painful “lump” in the region of the first metatarsophalangeal joint, the development of forefoot corns, and inability to choose the right shoes, which leads to a significant decrease in the quality of life of these patients. Corrective osteotomies that preserve the metatarsophalangeal joint, for example Austin (Chevron) osteotomy, are usually used for hallux valgus deformity of the I, II degrees. Radiography with the study of the hallux valgus angle (HVA), the intermetatarsal angle (IMA), the distal metatarsal articular angle (DMAA) is a research method that shows the true correlation between bone structures. The correlation between the radiological and functional indicators of osteotomy allows us to determine possible recommendations for indications for surgical treatment of Hallux valgus. Correlation shows that the largest correction of hallux valgus in older patients occurs due to a small adjustment of the angle of DMMA and HVA. IMA had the best correction after Austin osteotomy among patients of a younger age, then the HVA, and the DMMA had minimum correction according to the AOFAS rating scale (Kitaoka). The revealed correlations allow us to determine the correct tactics for the treatment of hallux valgus by identifying the benefits of Austin osteotomy.

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