Footwear alterations after first metatarsophalangeal joint arthrodesis

Objectives: This study aimed to examine the footwear alterations following first metatarsophalangeal (MTP1) joint arthrodesis. Methods: A retrospective review was performed on 37 (42 feet) patients who underwent MTP1 arthrodesis between January 2014 and 2019 in our institution. Functional outcomes were assessed with American Orthopedic Foot Ankle Society Hallux metatarsophalangeal–interphalangeal (AOFAS-MTP-IP) scale, pain using visual analog scale (VAS). Besides, time return regular footwear, shoe preferences, cosmetic appearance of feet evaluated compared preoperative status. Results: The mean follow-up 12.0 ± 16.5 months. AOFAS-MTP-IP improved from 46.6 7.0 points 86.2 7.2 (p =0.001), VAS decreased 6.3 1.8 1.4 0.5 =0.001). There non-union three (7.1%) feet, union for rest 8.2 1.1 weeks. No other complications seen. resuming 11.8 2.6 Patients’ perception their 3.9 2.8 9.0 0.7 Twenty-nine (78.6%) (33 reported that there no restriction past, but 8 (21.4%) had choose specific types models. None use modified or custom-made shoes. significant change heel height preferences after surgery =0.004). 18 (52.4%) shorter than whereas 19 (47.6%) patients’ preference did not change. Almost all patients, 36 (97.6%) athletic shoes routine daily life. Conclusions: is a reliable method controls increases function low rate complications. However, may occur. Patients should be informed adequately about these modify patient expectations.