title: Moje first metatarsophalangeal replacement--a case series with functional outcomes using the AOFAS-HMI score.
abstract: We report the functional results of a case series of Moje first metatarsophalangeal total joint replacements carried out between February 2001 and November 2006. All patients who underwent Moje arthroplasty under the care of a single surgeon were included; outcome scores and complications were recorded annually. A total of 32 joints in 29 consecutive patients were followed for a mean duration of 34 (range 6 to 74) months, and the mean patient age at the time of operation was 56 (range 38 to 79) years. Hallux rigidus was the primary diagnosis in 28 (87.5%) of the cases. The mean American Orthopaedic Foot & Ankle Society Hallux-Metatarsophalangeal-Interphalangeal score at final follow-up was 74/100 (range 9 to 100), with 13 (40.63%) joints rated good to excellent. Two (6.25%) joints were revised to arthrodesis at a mean of 52 (range 41 to 63) months following the arthroplasty procedure, and the overall prevalence of postoperative complications was 6 (18.75%). Based on these results, we concluded that first MTPJ total joint replacement with the Moje device remains promising, but still has room for improvement before the results match those obtained with larger joint (knee, hip) arthroplasty.
authors.affiliation: Heart of England NHS Trust, West Midlands, UK. markbrewster@doctors.org.uk
authors.forename: Mark
authors.initials: M
authors.lastname: Brewster
authors.forename: John
authors.initials: J
authors.lastname: McArthur
authors.forename: Cyril
authors.initials: C
authors.lastname: Mauffrey
authors.forename: Andrew Charles
authors.initials: AC
authors.lastname: Lewis
authors.forename: Peter
authors.initials: P
authors.lastname: Hull
authors.forename: James
authors.initials: J
authors.lastname: Ramos
mesh_terms: D000328:Adult; D000368:Aged; D001174:Arthrodesis; D019643:Arthroplasty, Replacement; D005260:Female; D005500:Follow-Up Studies; D020859:Hallux Rigidus / Q000601:surgery; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D008875:Middle Aged; D010147:Pain Measurement; D011183:Postoperative Complications; D016059:Range of Motion, Articular; D016896:Treatment Outcome