Comparison Total Joint Replacement with Arthrodesis of the 1st Metatarsophalangeal Joint
Category: Midfoot/Forefoot; Other Introduction/Purpose: The aim of this study was to compare outcome (clinical, patient-reported outcome measures, radiological, joint motion and pedographic) of total joint replacement with Roto-Glide (RG) and arthrodesis (A) for severe osteoarthritis of the first me...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-12-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011423S00088 |
| _version_ | 1797378160987209728 |
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| author | Martinus Richter MD, PhD Stefan Zech Stefan A. Meissner MD Issam Naef |
| author_facet | Martinus Richter MD, PhD Stefan Zech Stefan A. Meissner MD Issam Naef |
| author_sort | Martinus Richter MD, PhD |
| collection | DOAJ |
| description | Category: Midfoot/Forefoot; Other Introduction/Purpose: The aim of this study was to compare outcome (clinical, patient-reported outcome measures, radiological, joint motion and pedographic) of total joint replacement with Roto-Glide (RG) and arthrodesis (A) for severe osteoarthritis of the first metatarsophalangeal joint (MTP1). Methods: All consecutive patients with A and RG from January 23, 2011 until September 18, 2019 at the authors’ institution were considered for inclusion in the study. Preoperatively and at FU, radiographs and/or weight-bearing computed tomographic imaging were obtained. Standard dynamic pedography was performed. Visual-Analogue-Scale Foot and Ankle (VAS FA), European Foot and Ankle Society Score (EFAS Score), MTP1 range of motion for dorsi-/plantarflexion (DF/PF) were registered and compared pre- operatively and FU. Results: Seventy RG and 72 A were included. Preoperative VASFA/EFAS Score did not differ between RG and A (Average scores, VASFA, RG/A, 50.6/45,6; EFAS Score, RG/A, 10,7/10,6; each p>0.05). Wound healing delays without further operative measures were registered in 4 (6%) patients for RG and 5 (7%) for A (p=0.67), and 5 revisions in 5 (7%) for RG and 12 in 8 (11%) for A (p=0.05). The longest available FU was higher in RG than in A (RG/A, 47/37 months on average, p< 0.001). VASFA/EFAS Score at FU was higher in RG than in A (Average scores, VASFA, RG/A, 72,6/63,6; EFAS Score, RG/A, 16.1/14.1; each p< 0.05). DF/PF was only possible in RG (Average values DF/PF RG, 36.1/14.0) Conclusion: We found marginally lower revision rates and higher PROMs, joint motion (DF/PF) and more physiologic force distribution at slightly longer FU for the RG subgroup than the A subgroup. Longer follow-up and broader clinical reporting are needed to identify potential deficits of RG. |
| first_indexed | 2024-03-08T20:03:43Z |
| format | Article |
| id | doaj.art-12d58affbd784b2b9f8032455146b587 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-03-08T20:03:43Z |
| publishDate | 2023-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-12d58affbd784b2b9f8032455146b5872023-12-23T11:03:29ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142023-12-01810.1177/2473011423S00088Comparison Total Joint Replacement with Arthrodesis of the 1st Metatarsophalangeal JointMartinus Richter MD, PhDStefan ZechStefan A. Meissner MDIssam NaefCategory: Midfoot/Forefoot; Other Introduction/Purpose: The aim of this study was to compare outcome (clinical, patient-reported outcome measures, radiological, joint motion and pedographic) of total joint replacement with Roto-Glide (RG) and arthrodesis (A) for severe osteoarthritis of the first metatarsophalangeal joint (MTP1). Methods: All consecutive patients with A and RG from January 23, 2011 until September 18, 2019 at the authors’ institution were considered for inclusion in the study. Preoperatively and at FU, radiographs and/or weight-bearing computed tomographic imaging were obtained. Standard dynamic pedography was performed. Visual-Analogue-Scale Foot and Ankle (VAS FA), European Foot and Ankle Society Score (EFAS Score), MTP1 range of motion for dorsi-/plantarflexion (DF/PF) were registered and compared pre- operatively and FU. Results: Seventy RG and 72 A were included. Preoperative VASFA/EFAS Score did not differ between RG and A (Average scores, VASFA, RG/A, 50.6/45,6; EFAS Score, RG/A, 10,7/10,6; each p>0.05). Wound healing delays without further operative measures were registered in 4 (6%) patients for RG and 5 (7%) for A (p=0.67), and 5 revisions in 5 (7%) for RG and 12 in 8 (11%) for A (p=0.05). The longest available FU was higher in RG than in A (RG/A, 47/37 months on average, p< 0.001). VASFA/EFAS Score at FU was higher in RG than in A (Average scores, VASFA, RG/A, 72,6/63,6; EFAS Score, RG/A, 16.1/14.1; each p< 0.05). DF/PF was only possible in RG (Average values DF/PF RG, 36.1/14.0) Conclusion: We found marginally lower revision rates and higher PROMs, joint motion (DF/PF) and more physiologic force distribution at slightly longer FU for the RG subgroup than the A subgroup. Longer follow-up and broader clinical reporting are needed to identify potential deficits of RG.https://doi.org/10.1177/2473011423S00088 |
| spellingShingle | Martinus Richter MD, PhD Stefan Zech Stefan A. Meissner MD Issam Naef Comparison Total Joint Replacement with Arthrodesis of the 1st Metatarsophalangeal Joint Foot & Ankle Orthopaedics |
| title | Comparison Total Joint Replacement with Arthrodesis of the 1st Metatarsophalangeal Joint |
| title_full | Comparison Total Joint Replacement with Arthrodesis of the 1st Metatarsophalangeal Joint |
| title_fullStr | Comparison Total Joint Replacement with Arthrodesis of the 1st Metatarsophalangeal Joint |
| title_full_unstemmed | Comparison Total Joint Replacement with Arthrodesis of the 1st Metatarsophalangeal Joint |
| title_short | Comparison Total Joint Replacement with Arthrodesis of the 1st Metatarsophalangeal Joint |
| title_sort | comparison total joint replacement with arthrodesis of the 1st metatarsophalangeal joint |
| url | https://doi.org/10.1177/2473011423S00088 |
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