Academic Journal
Progressive First Metatarsal Shortening Is Observed Following Allograft Interpositional Arthroplasty in Hallux Rigidus
| العنوان: | Progressive First Metatarsal Shortening Is Observed Following Allograft Interpositional Arthroplasty in Hallux Rigidus |
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| المؤلفون: | Fayed, Aly, Carvalho, Kepler A.M., Jones, Matthew T., Schmidt, Eli, Acker, Antoine, Luo, Emily Joan, Talaski, Grayson M., Anastasio, Albert O., Mansur, Nacime Salomao Barbachan, de Cesar Netto, Cesar |
| المصدر: | Foot & Ankle Orthopaedics ; volume 9, issue 2 ; ISSN 2473-0114 2473-0114 |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2024 |
| الوصف: | Introduction/Purpose: Interpositional arthroplasty (IPA) is a motion-preserving surgery in patients with advanced hallux rigidus. Literature displays several complications after the procedure including transfer metatarsalgia, cock-updeformity and infection. In a finite element model, shortening of the first metatarsal was associated with increased plantar pressure on lateral rays during gait. Additionally, there are reports of a positive correlation between first metatarsal shortening after hallux valgus surgery and transfer metatarsalgia of the second,third and fourth metatarsophalangeal joints. The goals of this study were to report the outcomes and complications of IPA using acellular dermal allograft (IPA-ADA) as well as study the changes in the length of the proximal phalanx of the hallux (P1) and the first metatarsal (M1) following the procedure. Methods: In this IRB-approved retrospective study, we assessed patients who underwent IPA-ADA in a single academic institute from 2019-2022. All patients’ demographic data, surgical details, complications, and patient-reported outcomes (PROs) were extracted. On standing conventional anteroposterior (AP) foot views, we measured the lengths of the first metatarsal (M1), the second metatarsal (M2), the proximal phalanx of the big toe (P1), and the entire length of the hallux (HX). The ratio of M1/M2 and P1/HX were calculated. The first metatarsophalangeal joint space was measured at the medial and lateral aspects of the joint on the APview. All measurements were recorded pre-operatively, at six weeks follow-up, and at the final follow-up. Descriptive statistics were performed, and comparison between groups was performed using analysis of variance(ANOVA) or Kruskal Wallis test according to data normality. The Dunn-Bonferroni test was then performed for pairwise group comparisons. A p-value < 0.05 was considered significant. Results: Eleven patients were included, 9 being females (81.81%). Six were hallux rigidus Coughlin grade III (54.55%), and 5 were grade IV ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1177/2473011424s00088 |
| DOI: | 10.1177/2473011424S00088 |
| الاتاحة: | https://doi.org/10.1177/2473011424s00088 https://journals.sagepub.com/doi/pdf/10.1177/2473011424S00088 |
| Rights: | https://creativecommons.org/licenses/by-nc/4.0/ |
| رقم الانضمام: | edsbas.934FBA38 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/2473011424s00088 |
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