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Hallux rigidus

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https://www.readbyqxmd.com/read/28367694/long-term-follow-up-of-arthrodesis-vs-total-joint-arthroplasty-for-hallux-rigidus
#1
Oliver D Stone, Robbie Ray, Colin E Thomson, J N Alastair Gibson
BACKGROUND: The optimal operative management of hallux rigidus is still a matter for debate among surgeons. Despite arthrodesis widely considered to be the gold standard treatment, many surgeons advocate arthroplasty as a suitable alternative. There are, however, few long-term or high-quality studies evaluating these modalities. We present the 15-year follow-up of a randomized controlled trial. METHODS: This data is the follow-up to the original study published in 2005...
April 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28259027/patient-reported-outcomes-six-months-following-surgical-treatment-of-end-stage-hallux-rigidus-in-a-community-based-podiatric-surgery-service
#2
Anthony John Maher
INTRODUCTION: End stage hallux rigidus can be treated surgically by arthrodesis, excisional arthroplasty and implant arthroplasty. Evaluation of these techniques has focused on clinical indicators such as radiographic, complications and subjective examination. Little attention has been given to health related quality of life and the use of patient reported outcome measures is still infrequent. METHOD: An evaluation was undertaken in a community based podiatric surgery service...
March 2017: Foot
https://www.readbyqxmd.com/read/28231963/functional-results-and-patient-satisfaction-of-first-metatarsophalangeal-joint-arthrodesis-using-dual-crossed-screw-fixation
#3
Ryan J Donegan, Peter A Blume
A total of 262 feet in 228 consecutive patients underwent first metatarsophalangeal joint (MPJ) fusion; thus, the present study is the largest single-surgeon patient series reported. The inclusion criteria included severe painful deformity of the first MPJ due to osteoarthritis, rheumatoid arthritis, or gouty arthritis and stage 3 or 4 hallux rigidus. The exclusion criteria were revision surgery of the first MPJ, fixation other than with dual crossed screws, and a postoperative follow-up period of <3 months...
March 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28229034/comprehensive-review-of-non-operative-management-of-hallux-rigidus
#4
REVIEW
Charles Kon Kam King, James Loh Sy, Qishi Zheng, Kinjal V Mehta
This article aims to provide an evidence-based literature review for the non-operative management of hallux rigidus. Currently, there is very little article on the evidence for the non-operative management of hallux rigidus. A comprehensive evidence-based literature review of the PubMed database conducted in November 2016, identified 11 relevant articles out of 560 articles assessing the efficacy of non-operative modalities for hallux rigidus. The 11 studies were then assigned to a level of evidence (I-IV)...
January 20, 2017: Curēus
https://www.readbyqxmd.com/read/28159038/clinical-and-radiological-outcomes-after-distal-oblique-osteotomy-for-the-treatment-of-stage-ii-hallux-rigidus-mid-term-results
#5
Antonio Viladot Voegeli, Lorenzo Marcellini, Luca Sodano, Ramon Viladot Perice
BACKGROUND: The aim of this retrospective study was to evaluate the mid-term outcomes of the distal oblique osteotomy in the correction of stage II hallux rigidus. METHODS: We evaluated 31 patients (32ft.) treated from March 2009 to April 2013 for hallux rigidus. The subjective evaluation was based on AOFAS score and self-evaluation of patient satisfaction. Radiographic analysis included: HVA, IMA, first metatarsophalangeal joint space, declination and shortening of first metatarsal...
March 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28124292/injuries-to-the-great-toe
#6
REVIEW
Philip J York, Frank B Wydra, Kenneth J Hunt
PURPOSE OF REVIEW: Injuries to the great toe are common in athletes. While most are managed nonoperatively and allow return to sports activity, some great toe injuries are highly problematic and can impact function. The purpose of this review is to highlight several specific injuries and disease processes involving the hallux and to detail current recommendations and management options in order to help raise suspicion for injuries that can result in long-term dysfunction. RECENT FINDINGS: Toe injuries have been found to represent nearly 10% of injuries presenting to fracture clinics...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28095703/outcomes-of-the-distal-metatarsal-dorsiflexion-osteotomy-for-advanced-hallux-rigidus
#7
Byung-Ki Cho, Kyoung-Jin Park, Ji-Kang Park, Nelson F SooHoo
BACKGROUND: Hallux rigidus can be treated using several different methods and the best treatment option depends on the severity of degenerative changes of the metatarsophalangeal (MTP) joint. However, the ideal operative option for advanced hallux rigidus remains debatable. This prospective study was performed to evaluate the intermediate-term clinical outcomes of distal metatarsal osteotomy used as a joint-preserving method for the treatment of advanced hallux rigidus. METHODS: Forty-two cases (39 patients) were followed for more than 3 years after distal metatarsal dorsiflexion osteotomy for advanced hallux rigidus of grade III-IV...
January 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28068843/outcomes-after-interpositional-arthroplasty-of-the-first-metatarsophalangeal-joint
#8
Michael C Aynardi, Lara Atwater, Eric J Dein, Talal Zahoor, Lew C Schon, Stuart D Miller
BACKGROUND: For patients with hallux rigidus seeking a motion-sparing procedure, interposition arthroplasty is an alternative to fusion. The purpose of this study was to report patient outcomes after interpositional arthroplasty for hallux rigidus. METHODS: All patients undergoing interpositional arthroplasty at our institution from 2001 to 2014 were identified and a retrospective chart review was performed. Follow-up was conducted through a telephone survey to obtain survivorship, satisfaction, and functional scores...
January 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28038564/response-to-letter-regarding-prospective-randomized-multi-centered-clinical-trial-assessing-safety-and-efficacy-of-a-synthetic-cartilage-implant-versus-first-metatarsophalangeal-arthrodesis-in-advanced-hallux-rigidus
#9
https://www.readbyqxmd.com/read/28038562/letter-regarding-prospective-randomized-multi-centered-clinical-trial-assessing-safety-and-efficacy-of-a-synthetic-cartilage-implant-versus-first-metatarsophalangeal-arthrodesis-in-advanced-hallux-rigidus
#10
https://www.readbyqxmd.com/read/28031506/intramedullary-and-intra-osseous-arthrodesis-of-the-hallux-metatarsophalangeal-joint
#11
Efstathios Drampalos, Shen Hwa Vun, Irfan Fayyaz
PURPOSE: To review the outcome of arthrodesis of the hallux metatarsophalangeal (MTP) joint in 23 patients. METHODS: Records of 9 men and 14 women aged 27 to 88 (mean, 57) years who underwent arthrodesis of the hallux MTP joint using an intramedullary device and an intra-osseous device were reviewed. Indications for surgery were severe hallux valgus (n=15), hallux rigidus (n=6) and rheumatoid arthritis (n=2). Outcome measures included visual analogue score (VAS) for pain, the American Orthopaedic Foot and Ankle Society (AOFAS) hallux score, bone union, hallux valgus angle (HVA), dorsiflexion angle (DA), complications, revision, and patient satisfaction...
December 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28008240/a-comparison-between-metatarsal-head-resurfacing-hemiarthroplasty-and-total-metatarsophalangeal-joint-arthroplasty-as-surgical-treatments-for-hallux-rigidus-a-retrospective-study-with-short-to-midterm-follow-up
#12
Musa Ugur Mermerkaya, Houman Adli
PURPOSE: We evaluated the short- to midterm outcomes of metatarsal head-resurfacing hemiarthroplasty and total metatarsophalangeal joint arthroplasty (total joint replacement [TJR]) as surgical treatments for advanced-stage hallux rigidus (HR). PATIENTS AND METHODS: From 2012 to 2014, all data from patients who underwent surgery for the treatment of grades 2-3 HR were retrospectively reviewed, and 45 patients were included in this study. Of these patients, 26 underwent metatarsal head-resurfacing hemiarthroplasty (Group I) and 19 underwent TJR (Group II)...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27909032/midterm-outcomes-of-polyvinyl-alcohol-hydrogel-hemiarthroplasty-of-the-first-metatarsophalangeal-joint-in-advanced-hallux-rigidus
#13
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...
March 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/27871422/the-science-behind-wear-testing-for-great-toe-implants-for-hallux-rigidus
#14
REVIEW
Judith F Baumhauer, Michele Marcolongo
Various methods of repairing damaged articular cartilage surfaces have been proposed and a variety of implant materials have been tried in an attempt to decrease pain and improve function after cartilage repair. The hydrogel made of polyvinyl alcohol and saline is a unique material used as an implant in the great toe for advanced stage arthritis.
December 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27846395/mid-term-functional-outcome-of-a-total-arthroplasty-of-the-first-metatarsophalangeal-joint
#15
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)...
January 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/27829936/ultrasound-guided-arthroscopic-management-of-hallux-rigidus
#16
Łukasz M Paczesny, Jacek Kruczyński
INTRODUCTION: The use of metatarso-phalangeal joint arthroscopy in the treatment of osteochondritis dissecans was first described in 1988. The technique produces good results. However, it can be difficult to enter a joint when it is deformed by degenerative disease. Sonography is a modern visualisation modality which can be used in orthopaedic surgery. AIM: To describe a method of intraoperative sonographic navigation during first metatarso-phalangeal joint arthroscopy...
2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/27672014/efficacy-of-foot-and-ankle-corticosteroid-injections
#17
John Grice, Daniel Marsland, George Smith, James Calder
BACKGROUND: Corticosteroid injections have been used for a variety of foot and ankle pathologies over the years, and our aim was to evaluate the efficacy and safety of them in our clinic. MATERIALS AND METHODS: We performed a retrospective review of notes and a telephone questionnaire on the clinical outcome of all patients who underwent a corticosteroid injection of the foot or ankle in a year. All procedures were performed in an outpatient setting by a consultant musculoskeletal radiologist using either ultrasound or X-ray guidance and had a minimum of 2 years of follow-up...
January 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/27613814/a-randomized-controlled-trial-assessing-the-effect-of-a-continuous-subcutaneous-infusion-of-local-anesthetic-following-elective-surgery-to-the-great-toe
#18
Barry Rose, Kumar Kunasingam, Tristan Barton, James Walsh, Karen Fogarty, Andrew Wines
Local anesthetic use for wound infusions, single injection, and continuous nerve blocks for postoperative analgesia is well established. No study has investigated the effect of a continuous block of the saphenous and superficial peroneal nerves at the level of the ankle joint following first ray surgery. A double blind randomized controlled trial was designed. One hundred patients with hallux valgus and rigidus requiring surgical correction were recruited and randomized to receive a postoperative continuous infusion at the ankle of normal saline or ropivacaine for 24 hours...
April 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27542800/long-term-outcome-of-first-metatarsophalangeal-joint-fusion-in-the-treatment-of-severe-hallux-rigidus
#19
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...
November 2016: International Orthopaedics
https://www.readbyqxmd.com/read/27524706/minimally-invasive-arthrodesis-of-1st-metatarsophalangeal-joint-for-hallux-rigidus
#20
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
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