First metatarsophalangeal arthrodesis for treatment of hallux rigidus: a retrospective study.
This was a retrospective study of 17 patients (21 operated feet) treated with first metatarsophalangeal arthrodesis for hallux rigidus of varying severity levels. Patients were evaluated according to a modified American Orthopedic Foot and Ankle Society hallux metatarsophalangeal-interphalangeal rating scale containing 60 subjective and 30 objective points. At an average follow-up time of 28.1 months, patients demonstrated a mean subjective improvement from 21.2 to 47.8/60, with mean total scores improving from 39.1 to 75.6/90. A comparison of pre- and postoperative radiographic angular measurements demonstrated a significant improvement (p = .001) in intermetatarsal, first metatarsal declination, and lateral talo-first metatarsal angles. Significant positive correlations were found between subjective results and patient age (p = .05) and the preoperative lateral talo-first metatarsal angles (p = .001).
Lombardi
C M
CM
Wyckoff Heights Medical Center Podiatric Medical Residency Program, Brooklyn, NY, USA.
Silhanek
A D
AD
Connolly
F G
FG
Dennis
L N
LN
Keslonsky
A J
AJ
D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D000075202:Contraindications; D005260:Female; D005529:Foot Bones / Q000000981:diagnostic imaging; D020859:Hallux Rigidus / Q000601:surgery*; D006215:Hallux Valgus / Q000601:surgery; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D011859:Radiography; D012008:Recurrence; D012189:Retrospective Studies