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Surgery for hallux rigidus

Discussion in 'Foot Surgery' started by NewsBot, Jun 23, 2008.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  2. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Short-Term Clinical Outcomes After First Metatarsal Head Resurfacing Hemiarthroplasty for Late Stage Hallux Rigidus
    Gökhan Meriç, MD, Mehmet Erduran, MD, Aziz Atik, MD, Özkan Köse, MD, Ali Engin Ulusal, MD, Devrim Akseki, MD
    The Journal of Foot and Ankle Surgery; Articles in Press
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Evaluation of first metatarsal head declination through a modified distal osteotomy in hallux rigidus surgery. a cadaveric model
    Jordi Asunción, Daniel Poggio, Manuel J. Pellegrini, Rodrigo Melo, José Ríos
    Foot and Ankle Surgery 18 December 2014
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Hemiarthroplasty for Hallux Rigidus: Mid-Term Results
    Daniel Gheorghiu, MBChB, MRCS(Ed), FRCS(Orth), Claire Coles, MBChB, Jordi Ballester, FRCS(Tr+Orth)
    JFAS; Article in Press
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Interpositional Arthroplasty of the Great Toe Metatarsophalangeal Joint Using Autogenous Fascia Lata for Advanced Hallux Rigidus.
    Gould, John S. MD; Florence, Mason N. MD
    Techniques in Foot & Ankle Surgery; in press
     
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Long-Term Follow-Up of the Cheilectomy for Degenerative Joint Disease of the First Metatarsophalangeal Joint
    Nicole Nicolosi, DPM; Chris Hehemann, DPM, James Connors, DPM, Allan Boike, DPM, FACFAS
    The Journal of Foot and Ankle Surgery; Available online 14 May 2015
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Outcome of Distal First Metatarsal Osteotomy Shortening in Hallux Rigidus Grades II and III.
    Ceccarini P, Ceccarini A, Rinonapoli G, Caraffa A
    Foot Ankle Int. 2015 Jul 17. pii: 1071100715595503.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    1st Metatarsophalangeal Joint Fusion: A Comparison of Non-Union and Gender Differences between Locking and Non-locking Plating Systems
    Edward James Bass, Siva Prasad Sirikonda
    The Foot; Article in Press
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Operative Treatment for Osteoarthritis of the First Metatarsophalangeal Joint: Arthrodesis Versus Hemiarthroplasty
    Timothy Voskuijl, MD, Ron Onstenk, MD
    JFAS; Article in Press
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Does arthrodesis of the first metatarsophalangeal joint correct the intermetatarsal M1M2 angle? Analysis of a continuous series of 208 arthrodeses fixed with plates
    F. Dalata, F. Cottalordab, M.-H. Fessya, J.-L. Bessea
    Orthopaedics & Traumatology: Surgery & Research; 24 August 2015
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Moberg Osteotomy Shifts Contact Pressure Plantarly in the First Metatarsophalangeal Joint in a Biomechanical Model
    Paul Hyon-Uk Kim et al
    Foot & Ankle International September 18, 2015
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical and Radiological Outcomes after Distal Oblique Osteotomy for the treatment of stage II Hallux Rigidus: mid-term results
    Antonio Viladot Voegeli Lorenzo Marcellini, Luca Sodano, Ramon Viladot Perice
    Foot and Ankle Surgery; in press
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Arthroscopic first metatarsophalangeal joint fusion for hallux rigidus
    Ibrahim Turan MD, Beran Turan MD, Jan G Jakobsson MD
    The Foot and Ankle Online Journal 8 (4): 4
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Cheilectomy as a First-Line Surgical Treatment Option Yields Good Functional Results in Grade III Hallux Rigidus
    Engin Cetinkaya, Merter Yalcinkaya, Sami Sokucu, Abdulkadir Polat, Ufuk Ozkaya, and Atilla Sancar Parmaksizoglu
    Journal of the American Podiatric Medical Association: January 2016, Vol. 106, No. 1, pp. 22-26.
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    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?
    Eric C. Storts, DPM, AACFAS, Craig A. Camasta, DPM, FACFAS
    JFAS; Article in Press
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A Prospective Comparison of Clinical, Radiographic, and Intraoperative Features of Hallux Rigidus: Long-Term Follow-Up and Analysis
    Andrew D. Elliott, DPM, JD, Andrew J. Borgert, PhD, Thomas S. Roukis, DPM, PhD, FACFAS
    JFAS; Article in Press
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Fusion of the First Metatarsophalangeal Joint: Precontoured or Straight Plate?
    Daniel Marsland, MSc, FRCS(Tr&Orth), Sujith Konan, MBBS, MD(res), MRCS, FRCS(Tr&Orth), Kyriacos Eleftheriou, MBBS MD FRCS(Tr&Orth), James Calder, FRCS(Tr&Orth), Robin R. Elliot, FRCS(Tr&Orth)
    JFAS; Article in Press
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Total Arthroplasty of the Metatarsophalangeal Joint of the Hallux
    Monika Horisberger et al
    Foot & Ankle International March 15, 2016
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Reduced Postoperative Functional Length Ratio Influences Patient Satisfaction in First Metatarsophalangeal Joint Replacement
    Mehmet Orcun Akkurt, MD, Hakan Şeşen, MD, Mahmut Ozdemir, MD, Mehmet Faruk Catma, MD, Ismail Demirkale, MD
    JFAS; Article in Press
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Functional Outcomes Following First Metatarsophalangeal Arthrodesis
    Bridget DeSandis et al
    Foot & Ankle International April 8, 2016
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Antibiotic Spacer Arthroplasty for Revision MTP Arthrodesis: A Novel Means to Build the Implant: A Case Report.
    Bitterman A et al
    Cureus. 2016 Mar 21;8(3):e537. doi: 10.7759/cureus.537.
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Metatarsal head resurfacing arthroplasty in the treatment of hallux rigidus: is it reliable treatment option?
    Circi E et al
    Musculoskelet Surg. 2016 Jun 2
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Joint Preserving Procedure for Moderate Hallux Rigidus: Does the Metatarsal Index Really Matter?
    Gaston Slullitel et al
    JFAS; Article in Press
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Metatarsal head resurfacing arthroplasty in the treatment of hallux rigidus: is it reliable treatment option?
    E. Circi , T. Tuzuner, E. Sukur, A. Baris, E. Kanay
    MUSCULOSKELETAL SURGERY; August 2016, Volume 100, Issue 2, pp 139-144
     
  25. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Quality of Early Union After First Metatarsophalangeal Joint Arthrodesis
    Florian Wanivenhaus, et al
    JFAS; Article in Press
     
  26. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Hallux valgus: the main risk factor for nonunion in first MTPJ fusion treated with a dorsal plate
    G. Williams, C. Butcher, A. Molloy, L. Mason
    Orthopaedic Proceedings 14 November 2016
     
  27. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Functional outcomes and sporting ability after cheilectomy and first metatarsophalangeal joint arthrodesis for hallux rigidus: a comparative study
    E. Poh, N. Vasukutty, A. Pillai
    Orthopaedic Proceedings 14 November 2016
     
  28. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Midterm Outcomes of Polyvinyl Alcohol Hydrogel Hemiarthroplasty of the First Metatarsophalangeal Joint in Advanced Hallux Rigidus
    Timothy R. Daniels et al
    Foot & Ankle International November 30, 2016
     
  29. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Non-union rates following crossed compression screw fixation for 1st MTPJ arthrodesis: a single centre study.
    Al-Sadek, T. A.; Dimitrov, N. I.; Niklev, D.; Al-Sadek, A.
    Meditsinski Pregled / Medical Review 2016 Vol.52 No.5 pp.61-62 ref.10
     
  30. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Outcomes of the Distal Metatarsal Dorsiflexion Osteotomy for Advanced Hallux Rigidus.
    Cho BK et al
    Foot Ankle Int. 2017 Jan 1:1071100716688177. doi: 10.1177/1071100716688177
     
  31. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Patient reported outcomes six months following surgical treatment of end stage hallux rigidus in a community based podiatric surgery service
    Anthony John Maher
    The Foot; Article in Press
     
  32. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Weight-bearing recommendations after first metatarsophalangeal joint arthrodesis fixation: a biomechanical comparison.
    Campbell B et al
    J Orthop Surg Res. 2017 Feb 6;12(1):23. doi: 10.1186/s13018-017-0525-z.
     
  33. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Functional Results and Patient Satisfaction of First Metatarsophalangeal Joint Arthrodesis Using Dual Crossed Screw Fixation.
    Donegan RJ, Blume PA.
    J Foot Ankle Surg. 2017 Mar - Apr;56(2):291-297. doi: 10.1053/j.jfas.2016.10.021.
     
  34. J Cusack

    J Cusack Welcome New Poster

    @Kevin Kirby : I presently have a very interesting case I would like your opinion. The pt. is a 24 yr. old former college wrestler. He displays hypermobility throughout both feet upon ROM. Currently he has:
    -failed Brostrom-Gould
    -torn ATF and AITF ligaments
    -anterior ankle impingement
    -short first metatarsal with impaction OCD which the bone marrow edema extends 8mm into proximal metatarsal. OCD measures 4.2mm
    -1st metatarsal elevatus of 4mm
    -torn flexor plate 1st MPJ
    -small dorsal osteophyte 1st metatarsal head
    -functional hallux limitus
    -upon palpation and plantarflecting the 1st metatarsal pt. experiences no pain upon ROM. There is severe pain otherwise.
    -gait analysis reveals Achilles' tendons vertical
    -gastroc equinus
    This is all left foot. Do you have any suggestions?
     
    Last edited: Mar 5, 2017
  35. eddavisdpm

    eddavisdpm Active Member

    The item not mentioned is the length of time patients were followed. One important issue with surgical treatments of hallux rigidus is what can be a significant difference between short term and long term results.
     
  36. eddavisdpm

    eddavisdpm Active Member

    Like many studies, the stated results are based on relatively short term outcomes. A complete first MTP joint arthrodesis means no joint pain as the joint no longer exists.

    What are the long term biomechanical effects of altered first ray function?
     
  37. Cyberbarn

    Cyberbarn Member

    If the study only asks about pain, and arthrodesis removes all that pain, then it will be deemed a success. Very few papers seem to look at the long term biomechanical effects so it is a very good question.

    Does anyone actually ask the patient what is important to them? Are patients informed that other joints will be affected by the fusion of a joint and do they actually understand the implications of that? Do the follow up questions include finding out if the patient now has pain in their knees or hips or back?

    I would really like to see the James Lind Alliance get involved in podiatric conditions so that we can have better research instead of the same old 'no pain after arthrodesis so it must be good' type stuff.

    http://www.jla.nihr.ac.uk/about-the-james-lind-alliance/
     
  38. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Keller arthroplasty vs hemi-implant arthroplasty for the surgical treatment of hallux rigidus: Mid-term comparative analysis
    Luis Lucinio Durán Alarcón et al
    Revista Española de Podología; 7 April 2017
     
  39. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    A 24 months follow-up after treatment of hallux rigidus with resection arthroplasty in combination with a resorbable polymer-based implant and platelet-rich plasma
    A. Siclaria et al
    Foot and Ankle Surgery; 24 April 2017
     
  40. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Rate of Revision After Cheilectomy Versus Decompression Osteotomy in Early-Stage Hallux Rigidus
    Benjamin Cullen et al
    The Journal of Foot and Ankle Surgery; Volume 56, Issue 3, May–June 2017, Pages 586–588
     
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