Short-Term Functional Outcomes of First Metatarsophalangeal Total Joint Replacement for Hallux Rigidus

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dc.contributor.authorErkocak, Omer Faruk
dc.contributor.authorSenaran, Hakan
dc.contributor.authorAltan, Egemen
dc.contributor.authorAydin, Bahattin Kerem
dc.contributor.authorAcar, Mehmet Ali
dc.date.accessioned2020-03-26T18:43:21Z
dc.date.available2020-03-26T18:43:21Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: Although metatarsophalangeal (MTP) arthrodesis has been advocated by many authors, implant arthroplasty appears to be successful option in advanced hallux rigidus (HR). The aim of our study was to evaluate the early results of the ToeFit-Plus prosthesis for the treatment of HR. Methods: Between December 2007 and January 2011, a total of 26 toes of 24 patients with MTP arthritis of the great toe were treated with ToeFit-Plus implant. The average follow-up time was 29.9 (range: 25 to 62) months. All patients were evaluated clinically and radiographically. Postoperative satisfaction and function were scored according to the American Orthopaedic Foot and Ankle Society (AOFAS) score. Pain was assessed with the use of a visual analogue scale. Results: Mean preoperative AOFAS score improved from 42.7 (range: 36 to 59) to 88.5 (range: 59 to 98) at the final follow-up (P < .01). Preoperative average visual analogue scale pain scores improved from 7.4 preoperatively to 1.9 at the final follow-up (P < .01). The average MTP joint range of motion improved from 25.9 degrees preoperatively to 53.8 degrees at the final follow-up. No radiologic loosening was found, but radiolucency was observed in 2 patients with this implant. No revision was required for any of the patients during the follow-up period. Conclusions: This total first MTP joint prosthesis yielded good functional outcome and high patient satisfaction level with low early complication rate. Preservation of joint movement and good pain relief with early mobilization were the advantages of this procedure. Salvage arthrodesis remains an option if future revisions are indicated.en_US
dc.identifier.doi10.1177/1071100713496770en_US
dc.identifier.endpage1579en_US
dc.identifier.issn1071-1007en_US
dc.identifier.issn1944-7876en_US
dc.identifier.issue11en_US
dc.identifier.pmid23877170en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1569en_US
dc.identifier.urihttps://dx.doi.org/10.1177/1071100713496770
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29814
dc.identifier.volume34en_US
dc.identifier.wosWOS:000330291200016en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSAGE PUBLICATIONS INCen_US
dc.relation.ispartofFOOT & ANKLE INTERNATIONALen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjecthallux rigidusen_US
dc.subjectmetatarsophalangeal joint replacementen_US
dc.subjectimplant arthroplastyen_US
dc.subjectToeFit-Plusen_US
dc.subjecthallux disordersen_US
dc.titleShort-Term Functional Outcomes of First Metatarsophalangeal Total Joint Replacement for Hallux Rigidusen_US
dc.typeArticleen_US

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