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The Functional Outcome of Hallux Metatarsophalangeal Joint Arthrodesis Using Hallux Intramedullary Fusion Device

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Abstract

Functional outcome of first metatarsophalangeal joint (MTPJ) arthrodesis using intramedullary implant was reviewed in retrospective series of 12 patients who had MTPJ arthritis. The outcome measures were improvements seen in VAS for pain and AOFAS scores recorded pre-operatively and post-operatively at the time of achieving complete union. VAS for pain improved from mean of 7.5 pre-operative to 1.8 post-operative (p < 0.001). AOFAS Score improved from mean of 35.58 pre-operative to 80.91 post-operative (p < 0.001). The fusion rate was 100 percent and mean time needed for fusion was 9.6 weeks. Only one patient had malunion which was acceptable to patient and was not revised. The fusion using intramedullary intra-osseous Hallux Fusion implant is a promising technique with good functional outcome and low complications.

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References

  1. Hutton, W. C., & Dhanendran, M. (1981). The mechanics of normal and hallux valgus feet-a quantitative study. Clinical Orthopaedics, 157, 7–13.

    Google Scholar 

  2. Besse, J. L., Chouteau, J., & Laptoiu, D. (2010). Arthrodesis of the first metatarsophalangeal joint with ball and cup reamers and osteosynthesis with pure titanium staples radiological evaluation of a continuous series of 54 cases. Foot Ankle Surgery, 16, 32–37.

    Article  Google Scholar 

  3. Coughlin, M. J. (2000). Rheumatoid forefoot reconstruction. A long term follow up study. Journal of Bone and Joint Surgery, 82, 322–341.

    Article  CAS  Google Scholar 

  4. Coughlin, M. J., Grebing, B. R., & Jones, C. P. (2005). Arthrodesis of the first metatarsophalangeal joint for idiopathic hallux valgus: Intermediate results. Foot and Ankle International, 26, 783–792.

    Article  Google Scholar 

  5. Ginsburg, A. I. (1979). Arthrodesis of the first metatarsophalangeal joint: A practical procedure. Journal of the American Podiatric Medical Association, 69, 367–369.

    Article  CAS  Google Scholar 

  6. Grimes, J. S., & Coughlin, M. J. (2006). First metatarsophalangeal joint arthrodesis as a treatment for failed hallux valgus surgery. Foot and Ankle International, 27, 887–893.

    Article  Google Scholar 

  7. Womack, J. W., & Ishikawa, S. N. (2009). First metatarsophalangeal arthrodesis. Foot Ankle Clinic, 14(1), 43–50.

    Article  Google Scholar 

  8. Buranosky, D. J., Taylor, D. T., Sage, R. A., Sartori, M., Patwardhan, A., Phelan, M., et al. (2001). First metatarsophalangeal joint arthrodesis: quantitative mechanical testing of six-hole dorsal plate versus crossed screw fixation in cadaveric specimens. Journal of Foot and Ankle Surgery, 40(4), 208–213.

    Article  CAS  Google Scholar 

  9. Politi, J., John, H., Njus, G., Bennett, G. L., & Kay, D. B. (2003). First metatarsal-phalangeal joint arthrodesis: a biomechanical assessment of stability. Foot and Ankle International, 24(4), 332–337.

    Article  Google Scholar 

  10. Curtis, M. J., Myerson, M., Jinnah, R. H., Cox, Q. G., & Alexander, I. (1993). Arthrodesis of the first metatarsophalangeal joint: a biomechanical study of internal fixation techniques. Foot Ankle, 14(7), 395–399.

    Article  CAS  Google Scholar 

  11. Roukis, T. S. (2011). Nonunion after arthrodesis of the first metatarsal-phalangeal joint: a systematic review. Journal of Foot and Ankle Surgery, 50(6), 710–713.

    Article  Google Scholar 

  12. Efstathios, D., Shen, H. V., & Irfan, F. (2016). Intramedullary and intra-osseous arthrodesis of the hallux metatarsophalangeal joint. Journal of Orthopaedic Surgery, 24(3), 359–360.

    Google Scholar 

  13. Parker, L., Ray, P., Grechenig, S., & Grechenig, W. (2014). Does the IOFIX improve compression in ankle fusion? Foot Ankle Surg, 20(4), 258–261.

    Article  Google Scholar 

  14. Shymon, S. J., Moss, L., & Harris, T. G. (2016). Case series using a novel implant and accelerated rehabilitation for patients undergoing an isolated talonavicular arthrodesis. Foot and Ankle Specialist, 9(3), 227–231.

    Article  Google Scholar 

  15. Aas, M., Johnsen, T. M., & Finsen, V. (2008). Arthrodesis of the first metatarsophalangeal joint for hallux rigidus-optimal position of fusion. The Foot, 18(3), 131–135.

    Article  Google Scholar 

  16. Ellington, J. K., Jones, C. P., Cohen, B. E., Davis, W. H., & Anderson, R. B. (2010). Review of 107 Hallux MTP Joint arthrodesis using dome shaped reamers and a stainless-steel dorsal plate. Foot and Ankle International, 31(5), 385–390.

    Article  Google Scholar 

  17. Mueller, M. E., Allgoewer, M., Schneider, R., & Willenegger, H. (1991). Manual of internal fixation. Berlin: Springer-Verlag.

    Book  Google Scholar 

  18. Brodsky, J. W., Passmore, R. N., Pollo, F. E., & Shabat, S. (2005). Functional outcome of arthrodesis of the first metatarsophalangeal joint using parallel screw fixation. Foot and Ankle International, 26, 140–146.

    Article  Google Scholar 

  19. Moynihan, F. J. (1967). Arthrodesis of the metatarso-phalangeal joint of the great toe. Journal of Bone and Joint Surgery. British Volume, 49, 544–551.

    Article  CAS  Google Scholar 

  20. Wassink, S., & Vanden, O. M. (2009). Arthrodesis of the first metatarso-phalangeal joint using a single screw: retrospective analysis of 109 feet. Journal of Foot and Ankle Surgery, 48(6), 653–661.

    Article  Google Scholar 

  21. Wanivenhaus, F., Espinosa, N., Tscholl, P. M., Krause, F., & Wirth, S. H. (2017). Quality of early union after first metatarsophalangeal joint arthrodesis. Journal of Foot and Ankle Surgery, 56(1), 50–53.

    Article  Google Scholar 

  22. Coughlin, M. J. (1990). Arthrodesis of the first metatarsophalangeal joint. 19, 177–186.Orthopedic Reviews

    CAS  Google Scholar 

  23. Mann, R. A., & Thompson, F. M. (1984). Arthrodesis of the first metatarsophalangeal joint for hallux valgus in rheumatoid arthritis. Journal of Bone and Joint Surgery. American Volume, 66, 687–692.

    Article  CAS  Google Scholar 

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Correspondence to Kamal Dureja.

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Dureja, K., Bhardwaj, S.H. The Functional Outcome of Hallux Metatarsophalangeal Joint Arthrodesis Using Hallux Intramedullary Fusion Device. JOIO 55 (Suppl 1), 103–109 (2021). https://doi.org/10.1007/s43465-020-00194-4

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