Safety and Efficacy of Medial Plate in First Metatarsophalangeal Joint Arthrodesis.
Ortop Traumatol Rehabil
; 23(3): 205-212, 2021 Jun 30.
Article
en En
| MEDLINE
| ID: mdl-34187940
ABSTRACT
BACKGROUND:
Arthrodesis of the first metatarsophalangeal joint (MTP-1) is a recognized and effective procedure in advanced osteoarthritis of this joint. Fixation with a dorsal plate and a compression screw has been described as the most stable. Nevertheless, the frequency of revision procedures after MTP-1 arthrodesis has been reported to exceed 10% in some reports. The need for revision surgery is mostly related to the fixation material used and concern both its destabilization and a conflict between the implants and soft tissues. Therefore, there is still scope for developing new stabilization methods for the MTP-1 joint. MATERIALS ANDMETHODS:
With the approval of the relevant Bioethics Committee, we conducted a pilot clinical trial to assess the safety and efficacy of the use of the medial plate in MTP-1 fusion. Twenty patients qualified for treatment due to osteoarthritis of the metatarsophalangeal joint were evaluated. The clinical results of the surgical treatment were assessed at least one year after the surgery.RESULTS:
The mean AOFAS MTP-IP score increased from 35.29±18.76 to 75.59±12.15. The mean EFAS score in-creased from 9.24±5.73 to 18.35±5.66. Pain level as per a VAS decreased from 6.24±1.48 to 1.59±2.58. A total of 18 patients were satisfied with the procedure, with the remaining 2 patients reporting the result as unsatisfactory. Two revision procedures were performed, both due to migration of the fixation material.CONCLUSIONS:
1. The clinical results of MTP-1 arthrodesis with the medial plate are comparable to the results in the litera-ture. 2. It can be concluded that the use of the medial plate in arthrodesis of the MTP-1 joint is safe and effective, and is a va--luable alternative to existing methods.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Hallux
/
Articulación Metatarsofalángica
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
En
Revista:
Ortop Traumatol Rehabil
Asunto de la revista:
ORTOPEDIA
/
REABILITACAO
/
TRAUMATOLOGIA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Polonia