First metatarsophalangeal arthrodesis outcomes for hallux rigidus versus hallux valgus

This study compared radiographic and functional patient outcomes of 1st MTP arthrodesis between hallux rigidus (HR) and hallux valgus (HV) cohorts. A retrospective review was conducted at an academic medical center on patients who underwent 1st MTP arthrodesis during 2009–2021. In total, 136 patient...

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Bibliographic Details
Published in:Foot and ankle surgery 2023-01, Vol.29 (1), p.50-55
Main Authors: Roth, Warren, Hoch, Caroline, Gross, Christopher E., Scott, Daniel J.
Format: Article
Language:English
Subjects:
Arthrodesis
Bunion
First Metatarsophalangeal Fusion
First Metatarsophalangeal Osteoarthritis
Hallux - diagnostic imaging
Hallux - surgery
Hallux Rigidus - diagnostic imaging
Hallux Rigidus - surgery
Hallux Valgus - diagnostic imaging
Hallux Valgus - surgery
Humans
Metatarsophalangeal Joint - diagnostic imaging
Metatarsophalangeal Joint - surgery
Retrospective Studies
Treatment Outcome
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Summary:This study compared radiographic and functional patient outcomes of 1st MTP arthrodesis between hallux rigidus (HR) and hallux valgus (HV) cohorts. A retrospective review was conducted at an academic medical center on patients who underwent 1st MTP arthrodesis during 2009–2021. In total, 136 patients (148 feet: HR=57, HV=47, combined=44) met the inclusion criteria of minimum three-month follow-up (mean=1.25 years, range=0.25–6.14 years). Data collection included patient-reported outcome measures (PROMs), radiographic markers, and complication and reoperation rates. PROMs improved overall, with HV patients significantly improving the least. The HR group had a significantly smaller improvement in HV angle (HR=−3.6, HV=−17, Combined=−15 p 
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2022.09.003