دورية أكاديمية
Minimally invasive Dorsal cheilectomy and Hallux metatarsophalangeal joint arthroscopy for the treatment of Hallux Rigidus.
| العنوان: | Minimally invasive Dorsal cheilectomy and Hallux metatarsophalangeal joint arthroscopy for the treatment of Hallux Rigidus. |
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| المؤلفون: | Gauthier C; Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA. Electronic address: chase.gauthier@prismahealth.org., Lewis T; King's College Hospital NHS Foundation Trust, Department of Orthopedic Surgery, Denmark Hill, London SE5 9RS, USA. Electronic address: t.lewis2@nhs.net., O'Keefe J; Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA., Bakaes Y; Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA. Electronic address: yianni.bakaes@prismahealth.org., Vignaraja V; King's College Hospital NHS Foundation Trust, Department of Orthopedic Surgery, Denmark Hill, London SE5 9RS, USA. Electronic address: Vikram.vignaraja@nhs.net., Jackson JB 3rd; Prisma Health, Department of Orthopedic Surgery, 2 Medical Park Rd, Suite 404, Columbia, SC 29203, USA. Electronic address: jbenjackson@gmail.com., Franklin S; King's College Hospital NHS Foundation Trust, Department of Orthopedic Surgery, Denmark Hill, London SE5 9RS, USA. Electronic address: Samuel.franklin@nhs.net., Kaplan J; Duke University Medical Center, Orthopedic Surgery, 4709 Creekstone Drive, Durham, NC 27703, USA. Electronic address: jkaplan26@gmail.com., Ray R; King's College Hospital NHS Foundation Trust, Department of Orthopedic Surgery, Denmark Hill, London SE5 9RS, USA. Electronic address: robbie1ray1@gmail.com., Gonzalez T; King's College Hospital NHS Foundation Trust, Department of Orthopedic Surgery, Denmark Hill, London SE5 9RS, USA. Electronic address: tyleragonzalezmed@gmail.com. |
| المصدر: | Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons [Foot Ankle Surg] 2024 Jul; Vol. 30 (5), pp. 400-405. Date of Electronic Publication: 2024 Feb 28. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Ltd Country of Publication: France NLM ID: 9609647 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1460-9584 (Electronic) Linking ISSN: 12687731 NLM ISO Abbreviation: Foot Ankle Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: [London] : Elsevier Ltd. Original Publication: Paris : Arnette Blackwell, c1996- |
| مواضيع طبية MeSH: | Arthroscopy* , Hallux Rigidus*/surgery , Metatarsophalangeal Joint*/surgery , Minimally Invasive Surgical Procedures*, Humans ; Female ; Retrospective Studies ; Male ; Middle Aged ; Adult ; Range of Motion, Articular ; Aged ; Treatment Outcome |
| مستخلص: | Background: Minimally invasive dorsal cheilectomy (MIDC) has become a popular alternative to an open approach for treating Hallux Rigidus (HR). To reduce some of the complications related to the MIDC approach, a first metatarsophalangeal (MTP) joint arthroscopy can be performed in addition to address the intra-articular pathology associated with Hallux Rigidus. This study aims to examine the effectiveness of MIDC with first MTP arthroscopy in patients with HR with a minimum 1-year follow-up. Methods: This was a multicenter retrospective review for adult patients with Coughlin and Shurnass Grade 0-3 who were treated with MIDC and first MTP arthroscopy between 3/1/2020 and 8/1/2022, with at least one year of follow-up data. Demographic information, first MTP range of motion (ROM), visual analog scale (VAS), Manchester-Oxford Foot Questionnaire (MOXFQ), and EQ-5D-5 L scores were collected. Continuous data was expressed as a mean and standard deviation, categorical data was expressed as a percentage. Wilcoxon Rank Sum test was used to compare continuous variables. All P < 0.05 was considered significant. Results: A total of 31 patients were included in the study. Average follow-up time was 16.5 months (range: 12 to 26.2). There was 1 (3.2%) undersurface EHL tendon tear, 2 (6.5%) conversions to an MTP fusion, and 1 (3.2%) revision cheilectomy and capsular release for MTP joint contracture. There was a significant improvement in patient's ROM in dorsiflexion (50 vs 89.6 degrees, P = 0.002), postoperative VAS pain scores (6.4 vs 2.1, P < 0.001), MOXFQ pain scores (58.1 vs 30.7, P = 0.001), MOXFQ Walking/Standing scores (56.6 vs 20.6, P = 0.001), MOXFQ Social Interaction scores (47.3 vs 19.36, P = 0.002), and MOXFQ Index scores (54.7 vs 22.4, P < 0.001). Conclusion: We found that MIDC with first MTP arthroscopy was effective at improving patient-reported outcomes at one year with low complication and revision rates. These results suggest that MIDC with first MTP arthroscopy is an effective treatment for early-stage HR. Level of Evidence: IV. Competing Interests: Conflict of Interest The following authors declare the following conflicts: No other authors have any conflicts of interest to declare. (Copyright © 2024 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Complications; First metatarsophalangeal arthroscopy; Forefoot surgery; Hallux Rigidus; Minimally Invasive Dorsal Cheilectomy; Osteoarthritis; Patient reported outcomes; Percutaneous surgery |
| تواريخ الأحداث: | Date Created: 20240308 Date Completed: 20240627 Latest Revision: 20240828 |
| رمز التحديث: | 20240830 |
| DOI: | 10.1016/j.fas.2024.02.011 |
| PMID: | 38458913 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1460-9584 |
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| DOI: | 10.1016/j.fas.2024.02.011 |