Abstract
The treatment of advanced hallux rigidus remains controversial. Only a few studies
have analyzed the short- and mid-term results of metatarsophalangeal (MTP) joint arthroplasty
to treat patients with advanced hallux rigidus. We present the short-term follow-up
results of patients who underwent MTP joint arthroplasty. We reviewed the medical
records of 15 consecutive patients (3 males and 12 females) who had had grade 3 or
4 hallux rigidus diagnosed according to the Coughlin and Shurnas classification. The
age range at surgery was 44 to 74 (mean 61.6) years. The mean follow-up period was
21.7 (range 18 to 28) months. The mean change in the overall American Orthopaedic
Foot and Ankle Society Hallux-First Ray scale score was from 26.9 ± 2.3 preoperatively
to 78.7 ± 8.8 postoperatively (p < .005). The mean change in the overall visual analog scale score was from 8.3 ± 0.8
preoperatively to 1.7 ± 0.7 postoperatively (p < .005). The mean preoperative first MTP joint range of motion was 22.3° ± 7.7° (range
15° to 45°), which had increased to 77° (range 65° to 90°) at the final follow-up
visit. No patient required revision surgery or removal. These results indicate that
for patients with advanced-stage hallux rigidus refractory to conservative treatment,
total joint arthroplasty can lead to good satisfaction and good functional results
in the short term.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: June 27, 2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
