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Metatarsophalangeal arthrodesis

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https://www.readbyqxmd.com/read/27909032/midterm-outcomes-of-polyvinyl-alcohol-hydrogel-hemiarthroplasty-of-the-first-metatarsophalangeal-joint-in-advanced-hallux-rigidus
#1
Timothy R Daniels, Alastair S E Younger, Murray J Penner, Kevin J Wing, Sara Lyn Miniaci-Coxhead, Ellie Pinsker, Mark Glazebrook
BACKGROUND: Hallux rigidus is the most common arthritic condition of the foot. A randomized clinical trial of first metatarsophalangeal (MTP) joint hemiarthroplasty with a polyvinyl alcohol (PVA) hydrogel implant (Cartiva) demonstrated pain relief and functional outcomes equivalent to first MTP arthrodesis at 2 years postoperation, with no cases of implant fragmentation, wear, or bone loss. We prospectively determined 5-year outcomes of first MTP hemiarthroplasty with the PVA hydrogel implant...
November 30, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27866887/quality-of-early-union-after-first-metatarsophalangeal-joint-arthrodesis
#2
Florian Wanivenhaus, Norman Espinosa, Philippe M Tscholl, Fabian Krause, Stephan H Wirth
The aim of the present retrospective cohort study was to assess the quality of union and the clinical outcomes in patients who had undergone first metatarsophalangeal joint (MTPJ) fusion using a dorsal plate and plantar lag screw. From March 2011 to December 2012, the clinical and radiographic data of 39 patients (41 feet) who had undergone first MTPJ fusion using a compressive locking plate were retrospectively reviewed. All patients had undergone postoperative computed tomography at 6 weeks postoperatively to assess union...
November 17, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27846395/mid-term-functional-outcome-of-a-total-arthroplasty-of-the-first-metatarsophalangeal-joint
#3
Corina Nüesch, Annegret Mündermann, Monika Horisberger
BACKGROUND: Arthroplasty of the first metatarsophalangeal joint is an alternative treatment option for end-stage hallux rigidus to the current gold standard of arthrodesis. The aim of this study was to investigate the mid-term functional outcome of an anatomically shaped prosthesis for the first metatarsophalangeal joint using pedobarography. METHODS: Ten patients (12 affected feet; age at surgery: 62.1 (SD: 7.2) years) were investigated preoperatively and 52 (SD: 3) months postoperatively using pedobarography (EMED, novel GmbH, Munich, Germany)...
November 10, 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/27770063/gait-analysis-of-foot-compensation-after-arthrodesis-of-the-first-metatarsophalangeal-joint
#4
Jasper Stevens, Kenneth Meijer, Wouter Bijnens, Mathijs C H W Fuchs, Lodewijk W van Rhijn, Joris P S Hermus, Sander van Hoeve, Martijn Poeze, Adhiambo M Witlox
BACKGROUND: Arthrodesis of the first metatarsophalangeal (MTP1) joint is an intervention often used in patients with severe MTP1 joint osteoarthritis and relieves pain in approximately 80% of these patients. The kinematic effects and compensatory mechanism of the foot for restoring a more normal gait pattern after this intervention are unknown. The aim of this study was to clarify this compensatory mechanism, in which it was hypothesized that the hindfoot and forefoot would be responsible for compensation after an arthrodesis of the MTP1 joint...
October 21, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27613811/distraction-first-metatarsophalangeal-arthrodesis-with-tricortical-calcaneus-autograft-technique-tips
#5
Jeffrey E McAlister, Christopher F Hyer, Trevor E Black
: First metatarsophalangeal joint arthritis can stem from a biomechanical imbalance as in hallux abducto valgus, metabolic arthritidies such as rheumatoid or gout, and even in posttraumatic cases. Advanced arthritis in the foot and ankle can often become debilitating. Surgical intervention is often necessary. Revision of failed first metatarsophalangeal joint arthroplasty is often in the setting of bony erosion and lysis, cystic changes, and loss of bone stock. In this article, we describe first metatarsophalangeal distraction arthrodesis technique using tricortical calcaneus autograft with the aim of simplifying donor site graft harvesting and decreasing donor site morbidity while attaining successful osseous union...
September 9, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27580112/goniometrie-evaluation-of-standing-extension-and-maximum-flexion-joint-angles-of-llamas-and-alpacas
#6
Amy L Walters, Stacy A Semevolos, Rose E Baker
OBJECTIVE To determine and compare mean standing extension and maximum flexion angles of various joints in healthy adult alpacas and llamas, and determine the reliability of goniometric data within and between 2 observers for each joint of interest. SAMPLE 6 healthy adult llamas and 6 healthy adult alpacas. PROCEDURES The shoulder joint, elbow joint, carpal, and metacarpophalangeal (MCP) joints of the forelimbs and the hip joint, stifle joint, tarsal, and metatarsophalangeal (MTP) joints of the hind limbs were investigated...
September 2016: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/27542800/long-term-outcome-of-first-metatarsophalangeal-joint-fusion-in-the-treatment-of-severe-hallux-rigidus
#7
Michel Chraim, Peter Bock, Hamza M Alrabai, Hans-Jörg Trnka
AIMS: This study was aimed to study the arthrodesis of the first metatarsophalangeal joint using an oblique interfragmentary lag screw and dorsal plate as an effective option for the treatment of hallux rigidus. Few researchers have studied the outcome of this surgical method over a long follow-up period. PATIENTS AND METHODS: We performed a retrospective review of 60 patients status post arthrodesis of the first metatarsophalangeal joint. The mean age was 68.5 years and average follow-up lasted for 47...
August 20, 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27524706/minimally-invasive-arthrodesis-of-1st-metatarsophalangeal-joint-for-hallux-rigidus
#8
REVIEW
A H Sott
First metatarsophalangeal joint arthrodesis plays a significant role in the management of symptomatic hallux rigidus/osteoarthritis of the 1st metatarsophalangeal joint. Several open and few percutaneous techniques have been described in the literature. This article describes and discusses a percutaneous technique that has been successfully used to achieve a pain-free stable and functional 1st metatarsophalangeal joint. All aspects of surgical indication and operative technique and details of patient-reported outcomes are presented with a referenced discussion...
September 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27405308/radiographic-evaluation-of-intermetatarsal-angle-correction-following-first-mtp-joint-arthrodesis-for-severe-hallux-valgus
#9
R Matthew McKean, Patrick F Bergin, Geoffrey Watson, Siddhant K Mehta, Thom A Tarquinio
BACKGROUND: Arthrodesis is a standard operative treatment for symptomatic arthritis of the first metatarsophalangeal (MTP) joint. Patients with degenerative joint disease (DJD), severe hallux valgus, and metatarsus primus varus may also require fusion of the first MTP joint. An important question in the latter group of patients is whether a proximal first metatarsal osteotomy is required, in addition to the first MTP joint fusion. Our hypothesis was that patients with severe hallux valgus and metatarsus primus varus, treated with first MTP joint arthrodesis alone, would have correction of the first-to-second intermetatarsal angle (1-2 IMA) and hallux valgus angle (HVA) to near population norms, without the addition of a proximal first metatarsal osteotomy...
November 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27233373/serious-sequellae-of-the-hallux-valgus-surgery-more-options-for-its-surgical-treatment
#10
M Núñez-Samper, R Viladot, S J Ponce, E Lao, F Souki
OBJECTIVE: The purpose of this study is to present a method for treating the serious consequences that result from failure of corrective techniques used for hallux valgus, which produces severe shortening of the first ray, and makes it difficult to perform the third rocker. MATERIAL AND METHODS: In this study, conducted in 2 hospitals in Madrid and Barcelona, an assessment was made of the clinical and radiological results of 40 cases, of which 97.5% were female...
July 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27143735/ground-reactive-forces-after-hallux-valgus-surgery-comparison-of-scarf-osteotomy-and-arthrodesis-of-the-first-metatarsophalangeal-joint
#11
R Ballas, P Edouard, R Philippot, F Farizon, F Delangle, N Peyrot
AIMS: The purpose of this study was to analyse the biomechanics of walking, through the ground reaction forces (GRF) measured, after first metatarsal osteotomy or metatarsophalangeal joint (MTP) arthrodesis. PATIENTS AND METHODS: A total of 19 patients underwent a Scarf osteotomy (50.3 years, standard deviation (sd) 12.3) and 18 underwent an arthrodesis (56.2 years, sd 6.5). Clinical and radiographical data as well as the American Orthopaedic Foot and Ankle Society (AOFAS) scores were determined...
May 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27114892/antibiotic-spacer-arthroplasty-for-revision-mtp-arthrodesis-a-novel-means-to-build-the-implant-a-case-report
#12
Adam Bitterman, Cristin Mathew, Milap Patel, James P Gurtowski
Metatarsophalangeal (MTP) joint osteoarthritis (OA), also known as hallux rigidus (HR), is the most common degenerative arthropathy of the foot and is often the result of trauma. There are multiple methods of addressing the patient's pain and limited function. Arthrodesis is the gold standard to manage severe MTP arthritis with a highly significant union rate. With various techniques of arthrodesis available, ranging from cannulated screw fixation, Kirschner wires, as well as plate and screw fixation, the orthopedic surgeon has multiple modalities to address this ailment; however, when these fail due to infection, the armament is limited...
2016: Curēus
https://www.readbyqxmd.com/read/27060128/functional-outcomes-following-first-metatarsophalangeal-arthrodesis
#13
Bridget DeSandis, Alejandro Pino, David S Levine, Matthew Roberts, Jonathan Deland, Martin O'Malley, Andrew Elliott
BACKGROUND: First metatarsophalangeal (MTP) joint arthrodesis is a common procedure for treatment of arthritis of the first MTP joint. The primary aim of this study was to evaluate the functional outcomes of a series of patients of multiple surgeons undergoing first MTP joint arthrodesis, emphasizing the functional gains with respect to daily activity that can be expected after this procedure. METHODS: A retrospective review of 53 patients who underwent successful isolated first MTP joint arthrodesis with either a plate and screw or independent screw construct was performed at our institution over a 6-year period...
July 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26979844/total-arthroplasty-of-the-metatarsophalangeal-joint-of-the-hallux
#14
Monika Horisberger, David Haeni, Heath B Henninger, Victor Valderrabano, Alexej Barg
BACKGROUND: The current gold standard in the treatment of severe hallux rigidus is arthrodesis of the first metatarsophalangeal (MTP-I) joint. We present the results of a new 3-component MTP-I prosthesis. We determined (1) the intraoperative and perioperative complications; (2) survivorship of prosthesis components and rate of secondary surgeries for any reason; (3) prosthetic component stability and radiographic alignment; (4) the degree of pain relief; and (5) the midterm functional outcomes including radiographic range of motion (ROM)...
July 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26952312/femoral-head-allograft-for-first-metatarsal-phalangeal-joint-fusion-using-a-reamer-technique-to-limit-graft-length
#15
Matt McCammon, Thomas A Brosky, Sofie L Pinney
The use of interpositional bone grafting for arthrodesis of the first metatarsophalangeal joint can be a technically challenging procedure. A fresh-frozen femoral head allograft can provide an appropriate graft for lengthening and ultimate fusion. It has been well-documented in published studies that larger grafts at this site increase the risk of complications. When the joint is resected in a "square" fashion, length is actually lost from the first metatarsal head. We present a technique using a reamer applied to 1 side of the graft and the first metatarsal head in a "cup-and-cone" fashion, thereby limiting the total length of the actual graft size...
July 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26922669/prospective-randomized-multi-centered-clinical-trial-assessing-safety-and-efficacy-of-a-synthetic-cartilage-implant-versus-first-metatarsophalangeal-arthrodesis-in-advanced-hallux-rigidus
#16
Judith F Baumhauer, Dishan Singh, Mark Glazebrook, Chris Blundell, Gwyneth De Vries, Ian L D Le, Dominic Nielsen, M Elizabeth Pedersen, Anthony Sakellariou, Matthew Solan, Guy Wansbrough, Alastair S E Younger, Timothy Daniels
BACKGROUND: Although a variety of great toe implants have been tried in an attempt to maintain toe motion, the majority have failed with loosening, malalignment/dislocation, implant fragmentation and bone loss. In these cases, salvage to arthrodesis is more complicated and results in shortening of the ray or requires structural bone graft to reestablish length. This prospective study compared the efficacy and safety of this small (8/10 mm) hydrogel implant to the gold standard of a great toe arthrodesis for advanced-stage hallux rigidus...
May 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26905254/immediate-weightbearing-of-first-metatarsophalangeal-joint-fusion-comparing-buried-crossed-kirschner-wires-versus-crossing-screws-does-incorporating-the-sesamoids-into-the-fusion-contribute-to-higher-incidence-of-bony-union
#17
Eric C Storts, Craig A Camasta
First metatarsophalangeal joint (MTPJ) arthrodesis remains a commonly used and reliable procedure for a variety of pathologies of the first MTPJ. Many costly fixation constructions have been described to achieve union with first MTPJ arthrodesis. We hypothesized that the incidence of union would be the same for both buried Kirchner (K)-wire and solid crossed screw fixation with immediate weightbearing. To test this hypothesis, we retrospectively reviewed first MTPJ fusions performed by the senior author (C...
May 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26564723/dual-plating-with-bone-block-arthrodesis-of-the-first-metatarsophalangeal-joint-a-clinical-retrospective-review
#18
Chaoyong Bei, Christopher E Gross, Samuel Adams, Selene G Parekh
BACKGROUND: First metatarsal phalangeal joint (MTP) arthrodesis is challenging in the setting of bone loss. The purpose of this study was to describe the results of interpositional grafting and arthrodesis of the first MTP joint using two plates in a 90/90 configuration. MATERIALS AND METHODS: Eleven patients had an MTP arthrodesis with 90-90 plating with an interpositional allograft. We analyzed the fusion rate, restoration of first ray length, patient satisfaction, and complication rates...
December 2015: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/26449390/outcome-of-joint-preserving-arthroplasty-for-rheumatoid-forefoot-deformities
#19
Jun-ichi Fukushi, Yasuharu Nakashima, Ken Okazaki, Hisakata Yamada, Taro Mawatari, Masanobu Ohishi, Akiko Oyamada, Yukio Akasaki, Yukihide Iwamoto
BACKGROUND: Along with the recent advances in the pharmacological management of rheumatoid arthritis, there is a trend toward the use of joint-preserving surgery in the treatment of rheumatoid forefoot deformities. However, the clinical outcomes of joint-preserving surgery for rheumatoid forefoot deformities have not been assessed in comparison to resection arthroplasty. METHODS: We retrospectively evaluated 23 feet in 17 patients with rheumatoid forefoot deformities who underwent surgery between January 2010 and December 2013...
March 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/26320564/operative-technique-interposition-arthroplasty-and-biological-augmentation-of-hallux-rigidus-surgery
#20
REVIEW
Chad M Ferguson, J Kent Ellington
Hallux rigidus is the most common arthritic malady to afflict the foot. A host of nonoperative measures can alleviate pain, and with failure of conservative treatment, joint preserving and joint sacrificing procedures can be used to treat persistent symptoms. Although arthrodesis is an effective pain-relieving operation, loss of motion at the hallux metatarsophalangeal joint may limit the patient's function and can be an unacceptable solution. Various types of interposition arthroplasty can offer a motion-preserving alternative to arthrodesis...
September 2015: Foot and Ankle Clinics
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