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Long-term outcomes of first metatarsophalangeal hemiarthroplasty for hallux rigidus.
Akcaalan, Serhat; Kavaklilar, Abdurrahim; Caglar, Ceyhun; Simsek, Mehmet Emin; Gursoy, Safa; Akkaya, Mustafa.
Afiliación
  • Akcaalan S; Ankara City Hospital, Türkiye. Electronic address: akcaalanserhat@gmail.com.
  • Kavaklilar A; Ankara City Hospital, Türkiye.
  • Caglar C; Ankara City Hospital, Türkiye; Ankara Yildirim Beyazit University, Orthopedics and Traumatology, Department, Türkiye.
  • Simsek ME; Ankara Lokman Hekim University, Orthopedics and Traumatology, Department, Türkiye.
  • Gursoy S; Acibadem University, Orthopedics and Traumatology, Department, Türkiye.
  • Akkaya M; Ankara Guven Hospital, Orthopedics and Traumatology Clinic, Ankara, Türkiye.
Foot Ankle Surg ; 30(4): 338-342, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38395674
ABSTRACT
Hallux rigidus (HR) is arthritis of the first metatarsophalangeal joint.First metatarsophalangeal joint hemiarthroplasty surgery is one of the treatment options for end stage hallux rigidus.The aim of this study is to evaluate the long-term outcomes of hemiarthroplasty of the first MTPJ with a metallic implant in patients with end-stage HR. Patients who underwent hemiarthroplasty surgery with the diagnosis of HR were included in the study. Self-Administered Foot Evaluation Questionnaire (SAFE-Q) and Foot and Ankle Disability Index (FADI) scores were used in pre-operative and post-operative final follow-ups to evaluate the clinical status of the patients. Post-operative 1st metatarsophalangeal joint range of motion was measured and recorded separately for each patient. The intra-hospital and follow-up complications and revision surgeries of the patients were recorded. Thirty-five patients with a mean follow-up of 8.1 years were included in the study. There was a statistically significant positive change in both FADI and SAFE-Q scores compared to the pre-operative process(p = 0.0001). The average dorsiflexion angle at the final follow-up was 22.0 ± 8.2. Thus, it was determined that the 5-year and 8-year survival rates of patients in this study were 97.1% and 87.8%, respectively. In conclusion, the long-term results show that the use of hemiarthroplasty in the treatment of end-stage HR leads to high patient satisfaction, increased range of motion and a high survival rate.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Rango del Movimiento Articular / Hallux Rigidus / Hemiartroplastia / Articulación Metatarsofalángica Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Surg Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Rango del Movimiento Articular / Hallux Rigidus / Hemiartroplastia / Articulación Metatarsofalángica Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Foot Ankle Surg Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article