Table 5.
Summary of previously published studies reporting clinical results of the surgical treatment of hallux rigidus
| Study | Operation | Procedures | Mean age (years) | Mean follow-up (months) | Mean AOFAS score | Complication | Mean DROM (degrees) | Mean VAS pain score; AOFAS pain subscore |
|---|---|---|---|---|---|---|---|---|
| Fuhrmann et al41 | Total MTP arthroplasty | 43 | N/A | 25–28 | 90.0 | 9%, four conversions to fusion | 45 | AOFAS: 32.8/40 |
| Gibson and Thomson8 | Total MTP arthroplasty | 39 | 55.5 | 24.0 | N/A | 15%, six phalangeal component loosening and revision | 24.0 | VAS: 2.7 |
| Barták et al45 | Total MTP arthroplasty | 28 | 56.3 | 24 | N/A | Asymptomatic osteolysis (three patients) | N/A | N/A |
| Daniilidis et al44 | Total MTP arthroplasty | 23 | 57 | 18 | 82.5 | Radiolucency (three patients) | 52.5 | VAS: 1.7 |
| Hasselman and Shields12 | Metatarsal head resurfacing | 25 | 51 | 20 | 96.1 | Metallosis and infection in one patient each | 65 | N/A |
| Carpenter et al4 | Metatarsal head resurfacing | 32 | 62.8 | 27.3 | 89.3 | None | 89.3 | AOFAS: 36.5/40 |
| Aslan et al2 | Metatarsal head resurfacing | 27 | 58 | 37.6 | 85.1 | None | 54.3 | VAS: 2.05 |
| Meric et al47 | Metatarsal head resurfacing | 14 | 58.7 | 24.1 | 83.7 | One revision to arthrodesis | 69.6 | VAS: 1.2 |
| Kline and Hasselman48 | Metatarsal head resurfacing | 30 | 51 | 60.0 | 94.1 | 13%, three silastic implants at 3 years, one arthrodesis | 66.3 | AOFAS: 32/40 |
Note: Pain was reported either as VAS pain score (0= no pain, 10= worst pain) or AOFAS pain subscore (0= severe/almost always present, 40= no pain).
Abbreviations: AOFAS, American Orthopedic Foot and Ankle Society; DROM, dorsiflexion range of motion; MTP, metatarsophalangeal; N/A, not applicable; VAS, visual analog scale.