A prospective 24 months follow-up of a three component press-fit prosthesis for hallux rigidus
| Autor: | L. Trtik, Jaap Harlaar, B.J. Burger, N.P. Saragas, S. Wassink, J. Asunción Márquez |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Metatarsophalangeal Joint Reoperation medicine.medical_specialty Joint replacement Visual analogue scale medicine.medical_treatment Joint Prosthesis Prosthesis Design Prosthesis 03 medical and health sciences Hallux rigidus 0302 clinical medicine Patient satisfaction Hallux Rigidus medicine Humans Orthopedics and Sports Medicine Prospective Studies Arthroplasty Replacement Range of Motion Articular Aged Aged 80 and over 030222 orthopedics business.industry 030229 sport sciences Middle Aged medicine.disease Arthroplasty Arthralgia Surgery Prosthesis Failure Implant Range of motion business Follow-Up Studies |
| Zdroj: | Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 23(3) |
| ISSN: | 1460-9584 |
| Popis: | The aim of this study was to evaluate the results following total first metatarsophalangeal (FMTP) joint replacement arthroplasty using a modular three component press fit prosthesis at two year follow up.All patient data was collected in a prospective way in four study centres. Both preoperative and postoperative evaluation consisted of an assessment using the AOFAS-HMI score, visual analogue scale for pain, evaluation of the range of motion and patient satisfaction scores. Postoperative X-rays were reviewed for loosening and radiolucency up to two years.Fifty-five feet were available for analysis at 24 months. Two implants were removed during the study. Six more feet had additional surgery due to stiffness or malalignment. Postoperative AOFAS-HMI scores improved significantly by 32.4 points at two year follow-up (p0.001). The visual analogue scale for pain improved significantly from 6.8 (std 1,6) preoperatively to 1.6 (std 1,9) postoperatively (p0.0001). Mean dorsiflexion improved from 12.6 (std 10,1) degrees preoperatively to 31.2 (std 16,8) degrees postoperatively. Eighty-seven percent of patients were moderately to well satisfied with the end result. Eighteen prostheses showed radiolucency at 24 months.Implantation of a Metis |
| Databáze: | OpenAIRE |
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