Contemporary approaches to stage II and III hallux rigidus: the role of metallic hemiarthroplasty of the proximal phalanx.
نویسندگان
چکیده
Metallic proximal phalangeal hemiarthroplasty has been described for the surgical treatment of moderate to severe hallux rigidus. This long-term follow-up of an extended case series of 37 patients who underwent the index operation demonstrated a high rate (93%) of patient satisfaction, and significant improvement in Foot Function Index scores.
منابع مشابه
First metatarsophalangeal joint arthrodesis versus proximal phalanx hemiarthroplasty for hallux rigidus: feasibility study for a randomised controlled trial
BACKGROUND Osteoarthritis of the first metatarsophalangeal joint (hallux rigidus) leads to pain and poor function and mobility. Arthrodesis is the gold standard treatment for end-stage disease. Total joint arthroplasties have been attempted, but early loosening has been attributed to dorsally directed shear forces on the metatarsal component. Metallic proximal phalangeal hemiarthroplasty theore...
متن کاملResurfacing of the First Metatarsal Head in the Treatment of Hallux Rigidus
Surgical techniques for the treatment of hallux rigidus have evolved during the past decade. Previously, main treatments were cheilectomy for earlier stages of hallux rigidus and resection arthroplasty or arthrodesis for advanced stages. Although arthrodesis has been considered the ‘‘gold standard’’ for advanced hallux rigidus, in younger and more active patients, activity, functional, and shoe...
متن کاملDorsal wedge osteotomy of the proximal phalanx for hallux rigidus. Long-term results.
Eight women had 10 toes treated for hallux rigidus by dorsal wedge osteotomy of the proximal phalanx and were reviewed after an average follow-up of 22 years. Five toes were symptom-free, four others did not restrict walking, and only one had required metatarsophalangeal fusion. We conclude that dorsal wedge osteotomy affords long-lasting benefits for hallux rigidus in the adolescent female.
متن کاملAssociation Between Patient Factors and Outcome of Synthetic Cartilage Implant Hemiarthroplasty vs First Metatarsophalangeal Joint Arthrodesis in Advanced Hallux Rigidus.
BACKGROUND We evaluated data from a clinical trial of first metatarsophalangeal joint (MTPJ1) implant hemiarthroplasty and arthrodesis to determine the association between patient factors and clinical outcomes. METHODS Patients ≥18 years with hallux rigidus grade 2, 3, or 4 were treated with synthetic cartilage implant MTPJ1 hemiarthroplasty or arthrodesis. Pain visual analog scale (VAS), Foo...
متن کاملHallux Rigidus: A Treatment Algorithm
First metatarsophalangeal joint osteoarthritis, commonly known as hallux rigidus, is a progressive disabling condition. Several staging classification systems exist. We present a staging system incorporating radiographic findings, range of motion, and presence or absence of mid-motion pain and sesamoid pain. On the basis of these clinically significant variables, we present an algorithm for tre...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Foot and ankle clinics
دوره 10 4 شماره
صفحات -
تاریخ انتشار 2005