scholarly journals Clinical Efficacy of the First Metatarsophalangeal Joint Arthroplasty as a Curative Procedure for Hallux Interphalangeal Joint Wounds in Patients with Diabetes

Diabetes Care ◽  
2003 ◽  
Vol 26 (12) ◽  
pp. 3284-3287 ◽  
Author(s):  
D. G. Armstrong ◽  
L. A. Lavery ◽  
J. R. Vazquez ◽  
B. Short ◽  
H. R. Kimbriel ◽  
...  
Keyword(s):  
Clinical Efficacy ◽  
Metatarsophalangeal Joint ◽  
Joint Arthroplasty ◽  
Interphalangeal Joint ◽  
First Metatarsophalangeal Joint ◽  
Patients With Diabetes

Biomechanical Comparison of Metatarsal Head Designs in First Metatarsophalangeal Joint Arthroplasty

2013 ◽  
Vol 34 (6) ◽  
pp. 881-889 ◽  
Author(s):  
Tim Schneider ◽  
Danè Dabirrahmani ◽  
Ronald M. Gillies ◽  
Richard C. Appleyard
Keyword(s):  
Metatarsophalangeal Joint ◽  
Metatarsal Head ◽  
Joint Arthroplasty ◽  
First Metatarsophalangeal Joint ◽  
Biomechanical Comparison

Rate of Development of Hallucal Interphalangeal Degenerative Joint Disease After First Metatarsophalangeal Joint Arthrodesis: A Retrospective Radiographic Analysis

2018 ◽  
Vol 12 (4) ◽  
pp. 357-362
Author(s):  
Nisha N. Shah ◽  
Marcus P. Richardson ◽  
Anson K. Chu ◽  
Christopher F. Hyer
Keyword(s):  
Metatarsophalangeal Joint ◽  
Degenerative Joint Disease ◽  
Interphalangeal Joint ◽  
Joint Disease ◽  
Radiographic Analysis ◽  
First Metatarsophalangeal Joint ◽  
Rate Of Development ◽  
Significant Difference ◽  
Retrospective Comparative Study

The development of hallux interphalangeal joint (IPJ) arthritis after an arthrodesis of the first metatarsophalangeal joint has been established in the literature. However, the significance has not been well reported. A retrospective, radiographic review of patients who had undergone a first metatarsophalangeal joint arthrodesis was performed. The Coughlin classification for degree of arthritic degeneration, hallux abductus angle, and hallux interphalangeus angle were measured in 107 radiographs of 103 patients preoperatively and postoperatively. Postoperative angles were measured immediately following surgery at approximately 6 weeks, 3 months, 6 months, 12 months, and 24 months. We found that the hallux abductus angle had decreased in the patients postoperatively; however, the hallux abductus interphalangeus angle increased on average after first metatarsophalangeal fusion. The majority of patients started with a Coughlin classification I of the hallux IPJ, which remained unchanged over the postoperative period, with no statistically significant difference in IPJ degeneration in the patients with or without fusion of the first metatarsophalangeal joint. In addition, no patients had a symptomatic hallux IPJ postoperatively within our limited study period. Further prospective studies would be beneficial with longer follow-up times to assess IPJ degeneration following first metatarsophalangeal joint fusions. Levels of Evidence: Level III: Retrospective, comparative study

A review of salvage arthrodesis for failed first metatarsophalangeal joint arthroplasty

2017 ◽  
Vol 23 ◽  
pp. 60-61
Author(s):  
C.K.K. King ◽  
C. Zheng ◽  
N.N. Amatullah ◽  
K.V. Mehta ◽  
J.S.Y. Loh
Keyword(s):  
Metatarsophalangeal Joint ◽  
Joint Arthroplasty ◽  
First Metatarsophalangeal Joint

Hallux Interphalangeal Joint Range of Motion in Feet with and Without Limited First Metatarsophalangeal Joint Dorsiflexion

2012 ◽  
Vol 102 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Pedro V. Munuera ◽  
Piedad Trujillo ◽  
Israel Güiza
Keyword(s):  
Metatarsophalangeal Joint ◽  
Inverse Correlation ◽  
Interphalangeal Joint ◽  
Regression Equation ◽  
Control Group ◽  
First Metatarsophalangeal Joint ◽  
Hallux Limitus ◽  
Joint Range Of Motion ◽  
Joint Range ◽  
Strong Inverse Correlation

Background: This work was designed to assess the degree of correlation between hallux interphalangeal joint and first metatarsophalangeal joint dorsiflexion and to compare the mobility of the hallux interphalangeal joint between participants with and without limited first metatarsophalangeal joint dorsiflexion (hallux limitus). Methods: Dorsiflexion of the hallux interphalangeal joint was measured in 60 normal feet and in 60 feet with hallux limitus to find correlations with first metatarsophalangeal joint dorsiflexion with the Spearman correlation coefficient and a simple linear regression equation. In addition, movement of the hallux interphalangeal joint was compared between normal and hallux limitus feet with the Mann-Whitney U test. Results: Significant differences were found between the groups in mean ± SD interphalangeal joint dorsiflexion (control group: 1.17° ± 2.50° ; hallux limitus group: 10.65° ± 8.24° ; P < .001). A significant inverse correlation was found between first metatarsophalangeal joint dorsiflexion and hallux interphalangeal joint dorsiflexion (ρ = −0.766, P < .001), and the regression equation from which predictions could be made is the following: hallux interphalangeal joint dorsiflexion = 27.17 − 0.381 × first metatarsophalangeal joint dorsiflexion. Conclusions: Hallux interphalangeal joint dorsiflexion was greater in feet with hallux limitus than in normal feet. There was a strong inverse correlation between first metatarsophalangeal joint dorsiflexion and hallux interphalangeal joint dorsiflexion. (J Am Podiatr Med Assoc 102(1): 47–53, 2012)

scholarly journals Retrospective analysis of 5 years results of first metatarsophalangeal joint arthroplasty, Single surgeon series

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0002
Author(s):  
Khalid Merghani Saleh Mohammed ◽  
Yasser Aljabi ◽  
Ara Francis ◽  
Robert Flavin
Keyword(s):  
Retrospective Analysis ◽  
Weight Bearing ◽  
Case Series ◽  
Metatarsophalangeal Joint ◽  
Metatarsal Head ◽  
Joint Arthroplasty ◽  
Joint Surface ◽  
X Rays ◽  
Medium Term ◽  
First Metatarsophalangeal Joint

Category: Bunion Introduction/Purpose: First Metatarsophalangeal joint (MTPJ) osteoarthritis is a common forefoot disease. It leads to joint surface destruction and erosions limiting function and causing pain. The disease can be classified to mobile and non mobile or traumatic and atraumatic disease. The gold standard for treatment of stage III and IV remains MTPJ arthrodesis. In this case series we demonstrate MTPJ arthroplasty in mobile MTPJ with stable first interphalangeal joint (IPJ) can achieve short and medium-term results that are comparable to arthrodesis with high satisfaction rate. Methods: Retrospective analysis of 48 MTPJ arthroplasties performed by single surgeon in the period between 2011 to 2016. Patient were included if they had mobile first MTPJ osteoarthritis in the absence of IPJ hypermobility. The Surgical procedure included resurfacing the 1st metatarsal head using Arthrosurface® Hemicap implant and Extensor Digitorum Brevis (EDB) graft on the phalangeal surface of the joint. Radiological parameters collected using weight bearing x-rays prior to surgery, immediate radiological correction after surgery, 6 month and 2 years radiological analysis following the index surgery. Physiotherapy data were collected by senior physiotherapist prospectively during the time of postoperative rehabilitations and it included AOFAS and VAS scores. Results: 48 patients underwent 1st MTP joint arthroplasty using Arthrosurface® Hemicap implant for the metatarsal head with EDB graft on the phalangeal aspect. 44 patients had primary OA of the 1st MTP joint, 4 were conversion of MTPJ arthrodesis to arthroplasty and 3 were treated for non-union of MTP joint arthrodesis. Average postoperative ROM in the sagittal plane was 30 degrees and no valgus deformity in the coronal plane. 3 Patients (0.68%) had residual pain following the surgery due to soft tissue impingement and required further surgical intervention. 1 patient remained dissatisfied after the revision surgery. Conclusion: In short to medium-term follow up, the first MTP joint arthroplasty with Arthrosurface® implant and EDB graft provides an excellent functional outcome in the management of moderate to severe OA. In some selected cases this can be an option for treatment of patient with failed arthrodesis or patients requiring the reversal of the arthrodesis due to other issues.

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