Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device Implantation.

Autor:	Engasser WM; Twin Cities Orthopedics, Edina, MN, USA., Coetzee JC; Twin Cities Orthopedics, Edina, MN, USA., Ebeling PB; Twin Cities Orthopedics, Edina, MN, USA., Den Hartog BD; Twin Cities Orthopedics, Edina, MN, USA., Seybold JD; Twin Cities Orthopedics, Edina, MN, USA., Holthusen SM; Twin Cities Orthopedics, Edina, MN, USA., McGaver RS; Twin Cities Orthopedics, Edina, MN, USA., Seiffert KJ; Twin Cities Orthopedics, Edina, MN, USA., Giveans MR; Twin Cities Orthopedics, Edina, MN, USA.
Jazyk:	angličtina
Zdroj:	Foot & ankle orthopaedics [Foot Ankle Orthop] 2020 Aug 06; Vol. 5 (3), pp. 2473011420930691. Date of Electronic Publication: 2020 Aug 06 (Print Publication: 2020).
DOI:	10.1177/2473011420930691
Abstrakt:	Background: Previous Level I studies show promising results for the use of a hydrogel synthetic cartilage implant (SCI) for the treatment of hallux rigidus. A recent independent retrospective review has put those results into question, however. The purpose of this article is to report patient-reported outcomes and early complications using this implant so as to add to the paucity of data in the literature regarding this implant. Methods: This was a retrospective chart review of patients undergoing hydrogel synthetic cartilage implant for the treatment of hallux rigidus from July 2017 to November 2018. Data collected included patient demographics, radiographic grading, and outcomes: Veterans Rand 12 Item Health Survey (VR-12), Foot and Ankle Ability Measure (FAAM), visual analog scale (VAS), patient satisfaction, and complications. Fifty-four patients (59 feet) with an average age of 57.6 (range, 39-78) years were analyzed. The average latest follow-up was 18.9 (range, 3-31.3) months. Body mass index was 26.7 (range, 18.7-35.2). None were diabetic and 5 were smokers. Results: The mean outcome improvements were 6.5 points (VR-12 Physical), 17.2 points (FAAM ADL), 27.4 points (FAAM Sport), and 18.4 points (VAS) ( P < .01 for each). Scores were significantly improved from preoperatively to most recent follow-up for FAAM ADL (71.0 vs 88.2 points), FAAM Sports (44.6 vs 72.0 points), and VAS (49.4 vs 31.0) ( P < .01). Overall, 72.5% patients would definitely or probably have the operation again. Ten patients (18.5%) went on to have revision surgery. Of these, 7 patients were revised to an arthrodesis, and 1 metal hemiarthroplasty and 2 implants were removed because of infection. Conclusion: Synthetic cartilage implantation for the treatment of hallux rigidus demonstrated improved pain and outcome scores at short-term follow-up. Reoperation and conversion to fusion rates were comparable to prior studies. Level of Evidence: Level IV, case series. Competing Interests: Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Bryan D. Den Hartog, MD, reports personal fees from Wright Medical outside the submitted work. ICMJE forms for all authors are available online. ICMJE forms for all authors are available online. (© The Author(s) 2020.)
Databáze:	MEDLINE
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