Abstract
This is a retrospective, multicenter study examining the long-term results for the
treatment of end-stage hallux rigidus using 3 different surgical procedures. A total
of 158 subjects (105 females and 53 males) were included in the present study. They
had undergone 1 of the following surgical procedures: arthrodesis, hemi-implant, or
resectional arthroplasty. The long-term results for the subjective assessment of pain,
function, and alignment, as well as objective radiographic and physical findings,
were examined. The median interval to postoperative follow-up for the 3 procedure
groups was 159 weeks. No statistically significant difference was found in age or
the number of subjects included in the 3 treatment groups (p = .11 and p = .16, respectively). The body mass index was significantly different statistically
among the 3 treatment groups, with the hemi-implant group representing a smaller body
mass index compared with the other procedures (p = .007). No statistically significant difference was found in the subjective outcomes
among the 3 treatment groups using the American College of Foot and Ankle Surgeons'
First Metatarsophalangeal Joint and First Ray Scoring Scale (patient questionnaire)
or the modified Hallux Metatarsophalangeal-Interphalangeal Scale of the American Orthopedic
Foot and Ankle Society (p = .64 and p = .14, respectively). Furthermore, the correlation coefficient between the 2 subjective
scoring scales was 0.78, statistically significant and reflecting a moderate to high
correlation (p < .001). The results of the radiographic and clinical evaluation revealed that metatarsalgia
was the most common finding for the arthrodesis group (9.8%), bony overgrowth into
the joint for the hemi-implant group (28.3%), and floating hallux for the resectional
arthroplasty group (30.9%). The results of our study suggest that all 3 surgical procedures
are viable options for the treatment of end-stage hallux rigidus.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: October 03, 2011
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
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Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
