Surgical options for salvage of end-stage hallux rigidus

Brage, Michael E.; Ball, Scott T.

doi:10.1016/s1083-7515(01)00004-3

Cited by 91 publications

(77 citation statements)

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“…The optimal position of the hallux after fusion should be 10° to 15° of dorsiflexion in relation to the floor, 10° to 20° of valgus, and neutral rotation [Keiserman, 2005]. These recommended numbers should strictly be used as a relative guideline, and each individual patient should be taken into consideration during the preoperative planning [Brage & Ball, 2002].…”

Section: Arthrodesismentioning

confidence: 99%

Joint Salvage Techniques for Stage III/IV Hallux Rigidus

Oloff¹,

Traynor²,

Vartivarian³

2012

The Role of Osteotomy in the Correction of Congenital and Acquired Disorders of the Skeleton

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Section: Arthrodesismentioning

confidence: 99%

Joint Salvage Techniques for Stage III/IV Hallux Rigidus

Oloff¹,

Traynor²,

Vartivarian³

2012

The Role of Osteotomy in the Correction of Congenital and Acquired Disorders of the Skeleton

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“…İleri evre halluks rigidusta standart cerrahi yöntem artrodezdir (1,6,7). Bunun yanında literatürde MTF-1 eklem artroplastisi ile ilgili birçok yayın da bulunmaktadır.…”

Section: Introductionunclassified

Early Term Functional Results of the Three-Component Total Arthroplasty in the Treatment of Hallux Rigidus

Karaytuğ¹,

Yıldız²,

Batıbay³

2017

Anadolu Kliniği Tıp Bilimleri Dergisi

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ÖzAmaç: Halluks rigidus, birinci metatarsofalangeal (MTF-1) eklemin dejenerasyonu ile karakterize bir hastalıktır. İleri evre halluks rigidus cerrahi tedavisinde artrodez yerine artroplasti seçimi halen tartışmalıdır. Bu çalışmanın amacı ileri evre halluks rigidus nedeniyle yeni nesil üç komponentli press-fit total eklem artroplastisi uygulanan hastaların erken dönem tedavi sonuçlarını bildirmektir. Gereç ve Yöntemler: Hastalar MTF-1 eklem dorsifleksiyon, plantar fleksiyon ve total eklem hareket açıklığı (EHA) dereceleri, AOFAS, VAS, SF-12 PCS skorları ve memnuniyet anketi sonuçları üzerinden değerlendirildi. Preoperatif ve postoperatif değerler istatistiksel açıdan analiz edildi. Radyolojik olarak ise anteroposteriyor (AP) ve lateral grafiler çekilerek gevşeme, aşınma ve dizilim açısından incelendi. Bulgular: Çalışmaya 17 hastanın 19 eklemi (14 kadın, 5 erkek) dahil edildi. Ortalama yaş 59 (49-67) olarak hesaplandı. Hastaların ortalama takip süresi 15 (12-22) ay idi. Ortalama dorsifleksiyon derecesi preoperatif 12,7° (2,1°-22,1°), postoperatif 30,1° (11,6°-47,3°); ortalama plantar fleksiyon derecesi preoperatif 16° (7,8°-24,2°), postoperatif 9,2° (2,3°-16,5°) olarak ölçüldü. MTF-1 eklem total hareket açıklığı preoperatif 28,7°'den postoperatif 39,4°'ye çıktı. Ortalama postoperatif AOFAS, VAS ve SF-12 PCS skorları 85,3 (57-96), 1,3 (0-5) ve 57,7 (53,7-59,9) olarak hesaplandı. Hastaların AOFAS ve SF-12 PCS skorlarındaki artış ile VAS skorlarındaki azalma istatistiksel açıdan anlamlı idi. Tartışma ve Sonuç: İleri evre MTF-1 eklem osteoartriti ciddi ağrı ve hareket kaybına sebep olan bir hastalıktır. Cerrahi tedavide kullanılacak standart yöntem halen tartışmalıdır. Literatürde ciddi komplikasyonlara neden olan eski protetik uygulamaların aksine üç komponentli sementsiz press-fit total protez uygulamalarında tatmin edici sonuçlar elde edildiği bildirilmektedir. Ağrı-nın giderilmesi ve AOFAS skorlarındaki artış tedavinin en başarılı yönleri olarak görülmektedir. Bu çalışmadan edindiğimiz bilgiler neticesinde ileri evre halluks rigidus tedavisinde yeni nesil üç komponentli press-fit total protez uygulamalarının etkili bir tedavi yöntemi olduğunu, uygun hasta seçimi halinde erken dönemde tatmin edici sonuçlar sağladığını düşünmekteyiz. Anahtar Sözcükler: halluks rigidus; osteoartrit; total protez Abstract Aim: Hallux rigidus is a disease characterized by degeneration of the first metatarsophalangeal (MTF-1) joint. The choice of arthroplasty instead of arthrodesis in the surgical treatment of advanced hallux rigidus is still controversial. In this study, we aimed to report the early treatment results of a number of patients who had advanced hallux rigidus and underwent newgeneration three-component press-fit total joint arthroplasty. Materials and Methods: The patients were evaluated in terms of degrees of MTF-1 joint dorsiflexion, plantar flexion, and total joint range of motion (ROM), scores of AOFAS, VAS, SF-12 PCS, and satisfaction survey results. The preoperative and postoperative values were analyzed statisticall...

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“…1Y4 This condition is characterized clinically by pain, marked restriction in range of motion, and bulk of the first MTP joint. 1,2,5,6 Surgical options include cheilectomy, 3,7Y15 interpositional arthroplasty, 2Y4,16Y20 resection or excisional arthroplasty, 21Y23 implant arthroplasty, 15,24Y31 and arthrodesis. 7,32Y36 Although cheilectomy may be a sufficient first line of treatment for patients with less severe arthritic changes, 2,4,5,9Y11,16 more aggressive procedures such as interpositional arthroplasty, resection arthroplasty, implant arthroplasty, or arthrodesis may be required for more advanced cases of hallux rigidus.…”

mentioning

confidence: 99%

“…7,32Y36 Although cheilectomy may be a sufficient first line of treatment for patients with less severe arthritic changes, 2,4,5,9Y11,16 more aggressive procedures such as interpositional arthroplasty, resection arthroplasty, implant arthroplasty, or arthrodesis may be required for more advanced cases of hallux rigidus. 2,4,5 Because of the disadvantages associated with many of the currently available procedures, the treatment options for young and active patients with advanced hallux rigidus are limited. 2,5,17,18 Typically, cheilectomy is not successful in more advanced cases of hallux rigidus, 4,8,15,18 whereas the more aggressive procedures, such as resection and implant arthroplasties, often are associated with complications that render them less than ideal for young and active patients for whom postoperative participation in weight-bearing activities is not only a priority, but also essential to maintaining their quality of life.…”

mentioning

confidence: 99%

“…2,4,5 Because of the disadvantages associated with many of the currently available procedures, the treatment options for young and active patients with advanced hallux rigidus are limited. 2,5,17,18 Typically, cheilectomy is not successful in more advanced cases of hallux rigidus, 4,8,15,18 whereas the more aggressive procedures, such as resection and implant arthroplasties, often are associated with complications that render them less than ideal for young and active patients for whom postoperative participation in weight-bearing activities is not only a priority, but also essential to maintaining their quality of life. 2,5,17,18 Of the available options, arthrodesis is considered as the gold standard for the treatment of advanced hallux rigidus in young patients because of its reliability and durability over time and with activity.…”

mentioning

confidence: 99%

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