A Multicenter Retrospective Review of Outcomes for Arthrodesis, Hemi-Metallic Joint Implant, and Resectional Arthroplasty in the Surgical Treatment of End-Stage Hallux Rigidus

Paul J. Kim, Daniel Hatch, Lawrence A. DiDomenico, Michael S. Lee, Bruce Kaczander, Gary Count, Marc Kravette

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

This is a retrospective, multicenter study examining the long-term results for the treatment of end-stage hallux rigidus using 3 different surgical procedures. A total of 158 subjects (105 females and 53 males) were included in the present study. They had undergone 1 of the following surgical procedures: arthrodesis, hemi-implant, or resectional arthroplasty. The long-term results for the subjective assessment of pain, function, and alignment, as well as objective radiographic and physical findings, were examined. The median interval to postoperative follow-up for the 3 procedure groups was 159 weeks. No statistically significant difference was found in age or the number of subjects included in the 3 treatment groups (p = .11 and p = .16, respectively). The body mass index was significantly different statistically among the 3 treatment groups, with the hemi-implant group representing a smaller body mass index compared with the other procedures (p = .007). No statistically significant difference was found in the subjective outcomes among the 3 treatment groups using the American College of Foot and Ankle Surgeons' First Metatarsophalangeal Joint and First Ray Scoring Scale (patient questionnaire) or the modified Hallux Metatarsophalangeal-Interphalangeal Scale of the American Orthopedic Foot and Ankle Society (p = .64 and p = .14, respectively). Furthermore, the correlation coefficient between the 2 subjective scoring scales was 0.78, statistically significant and reflecting a moderate to high correlation (p < .001). The results of the radiographic and clinical evaluation revealed that metatarsalgia was the most common finding for the arthrodesis group (9.8%), bony overgrowth into the joint for the hemi-implant group (28.3%), and floating hallux for the resectional arthroplasty group (30.9%). The results of our study suggest that all 3 surgical procedures are viable options for the treatment of end-stage hallux rigidus.

Original languageEnglish (US)
Pages (from-to)50-56
Number of pages7
JournalJournal of Foot and Ankle Surgery
Volume51
Issue number1
DOIs
StatePublished - Jan 1 2012
Externally publishedYes

Fingerprint

Hallux Rigidus
Arthrodesis
Arthroplasty
Joints
Hallux
Ankle
Foot
Body Mass Index
Metatarsalgia
Metatarsophalangeal Joint
Therapeutics
Pain Measurement
Multicenter Studies
Orthopedics
Retrospective Studies

Keywords

  • Arthritis
  • Bone
  • Foot
  • Joint replacement
  • Metatarsal
  • Phalanx
  • Surgery
  • Toe

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

A Multicenter Retrospective Review of Outcomes for Arthrodesis, Hemi-Metallic Joint Implant, and Resectional Arthroplasty in the Surgical Treatment of End-Stage Hallux Rigidus. / Kim, Paul J.; Hatch, Daniel; DiDomenico, Lawrence A.; Lee, Michael S.; Kaczander, Bruce; Count, Gary; Kravette, Marc.

In: Journal of Foot and Ankle Surgery, Vol. 51, No. 1, 01.01.2012, p. 50-56.

Research output: Contribution to journalArticle

Kim, Paul J. ; Hatch, Daniel ; DiDomenico, Lawrence A. ; Lee, Michael S. ; Kaczander, Bruce ; Count, Gary ; Kravette, Marc. / A Multicenter Retrospective Review of Outcomes for Arthrodesis, Hemi-Metallic Joint Implant, and Resectional Arthroplasty in the Surgical Treatment of End-Stage Hallux Rigidus. In: Journal of Foot and Ankle Surgery. 2012 ; Vol. 51, No. 1. pp. 50-56.
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