Minimally invasive arthrodesis of the first metatarsophalangeal joint for hallux rigidus

✍ Scribed by Fanous, Rafik Nabil; Ridgers, Sophia; Sott, Andrea H.

• Book ID: 122544009
• Publisher: John Wiley and Sons
• Year: 2014
• Tongue: English
• Weight: 926 KB
• Volume: 20
• Category: Article
• ISSN: 1268-7731
• DOI: 10.1016/j.fas.2014.03.004

✦ Synopsis

Background:

First metatarsophalangeal joint arthrodesis plays a significant role in the management of symptomatic hallux rigidus. several open and one percutaneous technique have been described in the literature. the authors present a minimally invasive technique, not previously published in the uk with patient-reported outcomes.

Methods:

A total of 26 cases of are presented in this prospective, continuous series. clinical outcome and patient satisfaction were assessed by the manchester-oxford foot questionnaire (moxfq) preoperatively and at most recent follow up (maximum 20 months). radiographic and clinical evaluation of fusion was also assessed with a fusion rate of 93%.

Results:

The moxfq score for cases where fusion was achieved improved from a mean of 42 points to 18 points at last follow up (p<0.05). patient satisfaction was overall very good.

Conclusions:

This minimally invasive technique is simple and can achieve results similar or better than open techniques in experienced hands. postoperative care requirements are minimal and both clinical and patient-reported outcome show significant improvement in this series.