Abstract
We reviewed 34 patients (38 joints) with hallux rigidus treated from 1989 to 1999 with arthrodesis of the first metatarsophalangeal joint. Average patient age at time of surgery was 52 (24–71) years, and the mean follow-up was 54 (18–116) months. There were six superficial infections, and all arthrodeses united. There was a good functional result with a significant pain reduction. The mean postoperative American Orthopaedic Foot and Ankle Society (AOFAS) score was 53 (5–84) points.
Résumé
Nous avons examiné 34 malades (38 articulations) traités de 1989 à 1999 pour hallux rigidus par arthrodèse de la première métatarso-phalangienne. L'age moyen des malades à la chirurgie était de 52 ans (24-71) et le suivi moyen étaient de 54 mois (18-116). Il y avait six infections superficielles et toutes les arthrodèses ont fusionné. Il y avait un bon résultat fonctionnel avec une réduction notable de la douleur. Le score AOFAS moyen post-opératoires était de 53 points (5-84).
Full Text
The Full Text of this article is available as a PDF (157.1 KB).
References
- 1.Chana GS, Andrew TA, Cotterill CO (1984) A simple method of arthrodesis of the first metatarsophalangeal joint. J Bone Joint Surg [Br] 22:555–558 [DOI] [PubMed]
- 2.Citron N and Neil M (1987) Dorsal wedge osteotomy of the proximal phalanx for hallux rigidus. Long term results. J Bone Joint Surg [Br] 69:835–837 [DOI] [PubMed]
- 3.Clutton, HH (1894): The treatment of hallux valgus. St. Thom. Hosp. Rep., 22:1–12
- 4.Coughlin Orthop Rev. 1990;19:177. [PubMed] [Google Scholar]
- 5.Cracchiolo A, Weltmer JB, Lian G, Dalseth T, Dorey F (1992) Arthroplasty of the first metatarsophalangeal joint with a double–stem silicone implant. J Bone Joint Surg [Am] 74: 552–563 [PubMed]
- 6.DeFrino Foot Ankle Int. 2002;23:496. doi: 10.1177/107110070202300605. [DOI] [PubMed] [Google Scholar]
- 7.Feltham Foot Ankle Int. 2001;22:192. doi: 10.1177/107110070102200304. [DOI] [PubMed] [Google Scholar]
- 8.Fitzgerald JA (1969) A review of long-term results of arthrodesis of first metatarso-phalangeal joint. J Bone Joint Surg [Br] 51:488–494 [PubMed]
- 9.FitzgeraldClin Orthop 1981157707018785 [Google Scholar]
- 10.Gregory J Foot Surg. 1990;29:369. [PubMed] [Google Scholar]
- 11.Jahss M (1982) The hallux. In: Jahss M (ed) Disorders of the foot, W.B. Saunders, Philadelphia, pp. 608–616
- 12.Kitaoka Foot Ankle Int. 1994;15:349. doi: 10.1177/107110079401500701. [DOI] [PubMed] [Google Scholar]
- 13.Mann RA, and Clanton TO (1988) Hallux rigidus: Treatment by cheilectomy. J Bone Joint Surg [Am] 70: 400–406 [PubMed]
- 14.Mann RA, Coughlin MJ (1992) Adult hallux valgus. In: Mann RA, Coughlin MJ (eds) Surgery of the foot and ankle. Mosby, St. Louis, pp. 167–296
- 15.Mann Foot Ankle. 1980;1:159. doi: 10.1177/107110078000100305. [DOI] [PubMed] [Google Scholar]
- 16.McKeever J Bone Joint Surg. 1952;34:129. [PubMed] [Google Scholar]
- 17.Moynihan FJ (1967) Arthrodesis of the first metatarsophalangeal joint of the great toe. J Bone Joint Surg [Br] 49: 544–551 [PubMed]
- 18.O'Doherty DP, Lowrie IG, Magnussen PA, Gregg PJ (1990) The management of the painful first metatarsophalangeal joint in the older patient. J Bone Joint Surg [Br] 72:839–843 [DOI] [PubMed]
- 19.Olms Int Orthop. 1999;23:240. doi: 10.1007/s002640050360. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Ronconi J Foot Ankle Surg. 2000;39:154. doi: 10.1016/s1067-2516(00)80016-2. [DOI] [PubMed] [Google Scholar]
- 21.RossBr Med J 19522138512997792 [Google Scholar]
- 22.Sage J Foot Ankle Surg. 1997;36:425. doi: 10.1016/s1067-2516(97)80094-4. [DOI] [PubMed] [Google Scholar]
- 23.Salis-SoglioZ Orthop 19821202807113368 [Google Scholar]
- 24.Salis-Soglio Operat Orthop Traumatol. 1991;3:107. [Google Scholar]
- 25.Samnegard J Foot Surg. 1991;36:136. [Google Scholar]
- 26.Shereff MJ, Baumhauer JF (1998) Current concepts review. Hallux rigidus and osteoarthritis of the first metatarsophalangeal joint. J Bone Joint Surg [Am] 80:898–908 [DOI] [PubMed]
- 27.TuranClin Orthop 19872212923608314 [Google Scholar]
- 28.Wilson CL (1958) A method of fusion of the metatarsophalangeal joint. J Bone Joint Surg [Am] 40:384–385 [PubMed]
- 29.Wilson JN (1967) Cone arthrodesis of the first metatarsophalangeal joint. J Bone Joint Surg [Br] 49:98–101 [PubMed]
- 30.Wu J Foot Ankle Surg. 1993;32:47. [PubMed] [Google Scholar]
- 31.Wülker N (1996) [Arthrodesis of the metatarsophalangeal joint of the large toe] Orthopaede 25:187–193 [PubMed]