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Clinical Outcomes After Joint-Preserving and Joint-Sacrificing Surgery for Hallux Rigidus
Introduction Hallux rigidus (HR) is a degenerative condition affecting the first metatarsal phalangeal joint, causing stiffness and pain. Surgery is indicated for those who have failed a trial of conservative management. The purpose of this paper is to evaluate the functional outcomes at short and m...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438958/ https://www.ncbi.nlm.nih.gov/pubmed/37602074 http://dx.doi.org/10.7759/cureus.42155 |
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author | Koh, Don Chandrakumara, Darshana Socklingam, Raj Kon Kam King, Charles |
author_facet | Koh, Don Chandrakumara, Darshana Socklingam, Raj Kon Kam King, Charles |
author_sort | Koh, Don |
collection | PubMed |
description | Introduction Hallux rigidus (HR) is a degenerative condition affecting the first metatarsal phalangeal joint, causing stiffness and pain. Surgery is indicated for those who have failed a trial of conservative management. The purpose of this paper is to evaluate the functional outcomes at short and medium term after surgery for HR. Methods All patients who underwent surgical treatment for HR between 2017 and 2022 at the time of this study were identified and invited to return for a follow-up evaluation. Outcomes were assessed by comparison of pre-operative and post-operative visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores. Results A total of 26 patients were included in our study with a mean follow-up of 31 months. There was a mean improvement in VAS score by 5.6 (p-value < 0.0001) and 5.7 (p-value = 0.0012) in patients who underwent joint-preserving (JP) and joint-sacrificing (JS) surgery, respectively. Patients who underwent JP surgery had a mean increase of 28.1 points (p-value < 0.0001) in the AOFAS Hallux score, while patients who underwent JS surgery had a mean increase of 27.29 points (p-value = 0.0066). Conclusion Functional outcomes after surgical management for HR are good at short- and medium-term follow-up. Good outcomes are seen with both JP and JS procedures. JP procedures should be considered as a first-line surgical option for HR as it allows revision procedures if required. |
format | Online Article Text |
id | pubmed-10438958 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-104389582023-08-19 Clinical Outcomes After Joint-Preserving and Joint-Sacrificing Surgery for Hallux Rigidus Koh, Don Chandrakumara, Darshana Socklingam, Raj Kon Kam King, Charles Cureus Orthopedics Introduction Hallux rigidus (HR) is a degenerative condition affecting the first metatarsal phalangeal joint, causing stiffness and pain. Surgery is indicated for those who have failed a trial of conservative management. The purpose of this paper is to evaluate the functional outcomes at short and medium term after surgery for HR. Methods All patients who underwent surgical treatment for HR between 2017 and 2022 at the time of this study were identified and invited to return for a follow-up evaluation. Outcomes were assessed by comparison of pre-operative and post-operative visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores. Results A total of 26 patients were included in our study with a mean follow-up of 31 months. There was a mean improvement in VAS score by 5.6 (p-value < 0.0001) and 5.7 (p-value = 0.0012) in patients who underwent joint-preserving (JP) and joint-sacrificing (JS) surgery, respectively. Patients who underwent JP surgery had a mean increase of 28.1 points (p-value < 0.0001) in the AOFAS Hallux score, while patients who underwent JS surgery had a mean increase of 27.29 points (p-value = 0.0066). Conclusion Functional outcomes after surgical management for HR are good at short- and medium-term follow-up. Good outcomes are seen with both JP and JS procedures. JP procedures should be considered as a first-line surgical option for HR as it allows revision procedures if required. Cureus 2023-07-19 /pmc/articles/PMC10438958/ /pubmed/37602074 http://dx.doi.org/10.7759/cureus.42155 Text en Copyright © 2023, Koh et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Koh, Don Chandrakumara, Darshana Socklingam, Raj Kon Kam King, Charles Clinical Outcomes After Joint-Preserving and Joint-Sacrificing Surgery for Hallux Rigidus |
title | Clinical Outcomes After Joint-Preserving and Joint-Sacrificing Surgery for Hallux Rigidus |
title_full | Clinical Outcomes After Joint-Preserving and Joint-Sacrificing Surgery for Hallux Rigidus |
title_fullStr | Clinical Outcomes After Joint-Preserving and Joint-Sacrificing Surgery for Hallux Rigidus |
title_full_unstemmed | Clinical Outcomes After Joint-Preserving and Joint-Sacrificing Surgery for Hallux Rigidus |
title_short | Clinical Outcomes After Joint-Preserving and Joint-Sacrificing Surgery for Hallux Rigidus |
title_sort | clinical outcomes after joint-preserving and joint-sacrificing surgery for hallux rigidus |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438958/ https://www.ncbi.nlm.nih.gov/pubmed/37602074 http://dx.doi.org/10.7759/cureus.42155 |
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