Interposition Bone Block Arthrodesis for Revision Hallux Metatarsophalangeal Joint Surgery

Malhotra, Karan; Nunn, Tim; Qamar, Faisal; Rao, V Raghavendra; Shanker, Jai

doi:10.1177/1071100714563536

Cited by 20 publications

(5 citation statements)

References 21 publications

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“…Successful use of allograft has been described for managing high-risk patient populations previously in multiple joints in the foot, and even in the setting of revision first metatarsophalangeal joint arthrodesis. 17,19 Our findings are consistent with reports that the use of structural allograft does not increase the risk of nonunion in arthrodesis procedures.…”

Section: Discussionsupporting

confidence: 90%

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Clinical and Operative Factors Related to Successful Revision Arthrodesis in the Foot and Ankle

O’Connor

Johnson²,

McCormick³

et al. 2016

Foot Ankle Int.

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Section: Discussionsupporting

confidence: 90%

“…12,21 Various techniques for augmentation with bone grafting have been discussed in both primary and revision arthrodesis. 3,17,19 In addition, over the past several years there have been additional studies looking at the use of orthobiologics in both primary arthrodesis procedures and treatment of fracture nonunion. 4,24…”

Section: Introductionmentioning

confidence: 99%

Clinical and Operative Factors Related to Successful Revision Arthrodesis in the Foot and Ankle

O’Connor

Johnson²,

McCormick³

et al. 2016

Foot Ankle Int.

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“…A total of ten articles met the eligibility criteria from the 180 articles initially retrieved from the five databases [3,[21][22][23][24][25][26][27][28][29]. This systematic review utilized a PRISMA diagram to visually depict the search process from initial search to final article inclusion (Figure 1).…”

Section: Search Resultsmentioning

confidence: 99%

Clinical and Kinematic Outcomes Based on Bone Graft Utilization for Salvage First Metatarsophalangeal Arthrodesis: A Systematic Review

Talaski,

Baumann,

Anastasio

et al. 2023

Applied Sciences

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Motion-preserving options for the treatment of first metatarsophalangeal (MTP) osteoarthritis are appealing, but the conversion to arthrodesis in failed cases comes with additional challenges. Loss of first ray length may not only lower arthrodesis success rates but can also cause aberrancies in the biomechanics of the foot and ankle. Selection of the proper graft for the restoration of length is crucial in order to minimize the chance of post-operative complications. The primary objective of this systematic review was to determine the optimal graft type for MTP salvage arthrodesis in terms of clinical outcomes, kinematic outcomes, and bony integration to improve patient care. A systematic review was performed using PubMed, SPORTDiscus, Cumulated Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, and Web of Science from database inception until 20 June 2023. Inclusion criteria were articles that examined clinical outcomes, examined different types of bone grafts, discussed impact of bone graft on lengthening, and articles related to first MTP arthrodesis salvage procedures. Data extraction relating to clinical metrics and kinematic metrics was performed and analyzed. Subgroup analysis was performed to compare graft types, such as (1) foot and ankle autograft, (2) non-foot and ankle autograft, and (3) allograft. A total of ten articles met eligibility criteria from 180 articles initially retrieved. Included patients (n = 164) had a frequency-weighted mean age of 55.2 ± 4.6 years with a frequency-weighted mean time from primary to salvage procedure of 36.6 ± 21.9 months and a frequency-weighted mean follow-up time of 42.7 ± 17.4 months. The non-foot and ankle autograft group had a mean length restoration of 4.4 ± 0.1 mm (n = 33, 73.3% reported) whereas the allograft group had a mean length restoration of 7.6 ± 3.5 mm (n = 49, 100% reported). The foot and ankle autograft group (n = 12 procedures) had an overall complication rate of 25.0%, the non-foot and ankle autograft group (n = 45 procedures) had an overall complication rate of 53.3%, and the allograft group (n = 49 procedures) had an overall complication rate of 10.2%. Preoperative AOFAS scores were lower but improved postoperatively, with the allograft group showing the highest postoperative scores, shorter time to union, and varying graft lengths among different autograft subgroups. The allograft group for salvage MTP arthrodesis has promise, as this group had the greatest mean length restoration and the lowest complication rate. This is the first systematic review examining different bone graft utilization for salvage MTP arthrodesis. More high-quality research is needed before solid recommendations can be made on this topic.

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“…Hamilton et al found 18% of non-union in Lapidus arthrodesis using a autogenous bone block (38) . When using cadaveric donor bone to fill defects in metatarsophalangeals fusions, Luke et al observed pseudoarthrosis in 13% of the sample and Malhotra et al observed it in 12% (39,40) . Clinical and radiographical fusion was noted in this study's patient at three months, with at least 80% of trabecular formation through each surface noted.…”

Section: Discussionmentioning

confidence: 99%

Lapicotton technique in the treatment of progressive collapsing foot deformity

Ahrenholz¹,

Iehl²,

Vivtcharenko³

et al. 2020

J Foot Ankle

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We present a technical surgical description of a 36-year-old female diagnosed with Progressive Collapsing Foot Deformity (PCFD) treated with a medial displacement calcaneus osteotomy, a lateral column lengthening, and a modified Lapidus fusion. In order to increase the plantar flexion power of this arthrodesis and minimize the loss in ray length with joint preparation, a bone block structured graft was used. Fixation was performed using a post implant in the medial cuneiform with crossing screws though the surfaces and the graft. Forefoot varus was properly corrected intraoperatively by using the described surgical technique. Satisfactory functional short-term results and an excellent alignment was accomplished. Level of Evidence V; Therapeutic Studies; Expert Opinion.

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Interposition Bone Block Arthrodesis for Revision Hallux Metatarsophalangeal Joint Surgery

Abstract: Level IV, retrospective case series.

Cited by 20 publications

References 21 publications

Clinical and Operative Factors Related to Successful Revision Arthrodesis in the Foot and Ankle

Clinical and Operative Factors Related to Successful Revision Arthrodesis in the Foot and Ankle

Clinical and Kinematic Outcomes Based on Bone Graft Utilization for Salvage First Metatarsophalangeal Arthrodesis: A Systematic Review

Lapicotton technique in the treatment of progressive collapsing foot deformity

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