Joint Preserving Procedure for Moderate Hallux Rigidus: Does the Metatarsal Index Really Matter?
| Autor: | Gustavo Pinton, Juan Pablo Calvi, Maximiliano Seletti, Carla Bartolucci, Gaston Slullitel, Valeria Lopez |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Metatarsophalangeal Joint Metatarsalgia medicine.medical_specialty Visual analogue scale medicine.medical_treatment Osteotomy 03 medical and health sciences Hallux rigidus 0302 clinical medicine Hallux Rigidus medicine Humans Orthopedics and Sports Medicine Range of Motion Articular Metatarsal Bones Retrospective Studies 030222 orthopedics business.industry Postoperative complication 030229 sport sciences Middle Aged Decompression Surgical medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Patient Satisfaction Female Ankle Metatarsal bones business Range of motion |
| Zdroj: | The Journal of Foot and Ankle Surgery. 55:1143-1147 |
| ISSN: | 1067-2516 |
| Popis: | Surgical treatment of moderate hallux rigidus remains controversial and the optimal surgical technique has yet to be defined. Decompressive metatarsal osteotomy is one of the procedures available; however, one of the potential drawbacks is the effect of the metatarsal shortening. We evaluated the global effect of the decompressive metatarsal osteotomy, accounting for the metatarsal index. We retrospectively evaluated 78 patients with stage II and III hallux rigidus who had undergone Youngswick osteotomy and analyzed their outcomes according to the metatarsal index. The candidates for inclusion underwent clinical and radiographic evaluation, including the visual analog scale foot and ankle score, first metatarsophalangeal joint range of motion, and first metatarsal protrusion distance to define the metatarsal index. Also, shortening of the first metatarsal was measured postoperatively, and the occurrence of metatarsalgia was considered a postoperative complication. The mean follow-up period was 53 ± 17 months. The groups stratified according to the metatarsal index (index plus, index plus minus, and index minus) presented with similar results (p > .05). The average preoperative visual analog scale foot and ankle score of 56.4 ± 13.8 points improved significantly to 84.1 ± 5.5 points postoperatively (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect