Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux
Introduction: Hallux rigidus (HR) is a frequent pathological condition of the foot, responsible for marked functional impairment. Metatarsal-phalangeal arthrodesis is an excellent treatment alternative for advanced stages of the disease, usually performed as an open surgery. Forefoot arthroscopy had...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2021-12-01
|
| Series: | Journal of the Foot & Ankle |
| Subjects: | |
| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1583 |
| _version_ | 1819237547279122432 |
|---|---|
| author | Rogério de Andrade Gomes Bruno Jannotti Pádua Anderson Humberto Gomes João Murilo Brandão Magalhães Wagner Vieira da Fonseca Tauam Filipe Galo Magalhães Luiz Eduardo Moreira Teixeira |
| author_facet | Rogério de Andrade Gomes Bruno Jannotti Pádua Anderson Humberto Gomes João Murilo Brandão Magalhães Wagner Vieira da Fonseca Tauam Filipe Galo Magalhães Luiz Eduardo Moreira Teixeira |
| author_sort | Rogério de Andrade Gomes |
| collection | DOAJ |
| description | Introduction: Hallux rigidus (HR) is a frequent pathological condition of the foot, responsible for marked functional impairment. Metatarsal-phalangeal arthrodesis is an excellent treatment alternative for advanced stages of the disease, usually performed as an open surgery. Forefoot arthroscopy had its greatest development in the last decade, with a progressive expansion of indications, yielding encouraging results. Objective: To present the clinical and radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux, depicting the technique and reporting complications. Methods: This study involves a series of cases, we operated 9 patients (10 feet), all with advanced HR (grades 3 and 4 - Coughlin-Shurnas). The patients underwent an arthroscopic procedure through two dorsal portals, small joints instruments. We assessed the results using the AOFAS functional score and the visual analogue pain scale. The radiographic parameters we used to analyze were the metatarsal-phalangeal angulation in the anteroposterior (pre- and postoperative) and lateral (post-operative) views, and we measured the radius shortening. Conclusion: Arthroscopic metatarsal-phalangeal arthrodesis is an excellent treatment option in advanced stages of hallux rigidus, with minimal disruption and providing excellent results, in addition to a low incidence of complications. Level of Evidence IV; Therapeutic Studies; Case Series |
| first_indexed | 2024-12-23T13:22:04Z |
| format | Article |
| id | doaj.art-8a236d5e27cd4bbca004fb37d512f61a |
| institution | Directory Open Access Journal |
| issn | 2675-2980 |
| language | English |
| last_indexed | 2024-12-23T13:22:04Z |
| publishDate | 2021-12-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj.art-8a236d5e27cd4bbca004fb37d512f61a2022-12-21T17:45:25ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802021-12-0115310.30795/jfootankle.2021.v15.1583Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the halluxRogério de Andrade Gomes0Bruno Jannotti Pádua1Anderson Humberto Gomes2João Murilo Brandão Magalhães3Wagner Vieira da Fonseca4Tauam Filipe Galo Magalhães5Luiz Eduardo Moreira Teixeira6Department of Orthopedics and Traumatology, Hospital Francisco José Neves, UNIMED-Belo Horizonte, Belo Horizonte, MG, Brazil.Department of Orthopedics and Traumatology, Hospital Francisco José Neves, UNIMED-Belo Horizonte, Belo Horizonte, MG, Brazil.Department of Orthopedics and Traumatology, Hospital Francisco José Neves, UNIMED-Belo Horizonte, Belo Horizonte, MG, Brazil.Department of Orthopedics and Traumatology, Hospital Francisco José Neves, UNIMED-Belo Horizonte, Belo Horizonte, MG, Brazil.Department of Orthopedics and Traumatology, Hospital Francisco José Neves, UNIMED-Belo Horizonte, Belo Horizonte, MG, Brazil.Department of Orthopedics and Traumatology, Hospital Francisco José Neves, UNIMED-Belo Horizonte, Belo Horizonte, MG, Brazil.Department of Orthopedics and Traumatology, Hospital Francisco José Neves, UNIMED-Belo Horizonte, Belo Horizonte, MG, Brazil.Introduction: Hallux rigidus (HR) is a frequent pathological condition of the foot, responsible for marked functional impairment. Metatarsal-phalangeal arthrodesis is an excellent treatment alternative for advanced stages of the disease, usually performed as an open surgery. Forefoot arthroscopy had its greatest development in the last decade, with a progressive expansion of indications, yielding encouraging results. Objective: To present the clinical and radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux, depicting the technique and reporting complications. Methods: This study involves a series of cases, we operated 9 patients (10 feet), all with advanced HR (grades 3 and 4 - Coughlin-Shurnas). The patients underwent an arthroscopic procedure through two dorsal portals, small joints instruments. We assessed the results using the AOFAS functional score and the visual analogue pain scale. The radiographic parameters we used to analyze were the metatarsal-phalangeal angulation in the anteroposterior (pre- and postoperative) and lateral (post-operative) views, and we measured the radius shortening. Conclusion: Arthroscopic metatarsal-phalangeal arthrodesis is an excellent treatment option in advanced stages of hallux rigidus, with minimal disruption and providing excellent results, in addition to a low incidence of complications. Level of Evidence IV; Therapeutic Studies; Case Serieshttps://jfootankle.com/JournalFootAnkle/article/view/1583ArthrodesisMetatarsalphalangeal jointHalluxArthrosis |
| spellingShingle | Rogério de Andrade Gomes Bruno Jannotti Pádua Anderson Humberto Gomes João Murilo Brandão Magalhães Wagner Vieira da Fonseca Tauam Filipe Galo Magalhães Luiz Eduardo Moreira Teixeira Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux Journal of the Foot & Ankle Arthrodesis Metatarsalphalangeal joint Hallux Arthrosis |
| title | Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux |
| title_full | Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux |
| title_fullStr | Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux |
| title_full_unstemmed | Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux |
| title_short | Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux |
| title_sort | evaluation of the clinical radiographic results of patients undergoing arthroscopic metatarsal phalangeal arthrodesis of the hallux |
| topic | Arthrodesis Metatarsalphalangeal joint Hallux Arthrosis |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1583 |
| work_keys_str_mv | AT rogeriodeandradegomes evaluationoftheclinicalradiographicresultsofpatientsundergoingarthroscopicmetatarsalphalangealarthrodesisofthehallux AT brunojannottipadua evaluationoftheclinicalradiographicresultsofpatientsundergoingarthroscopicmetatarsalphalangealarthrodesisofthehallux AT andersonhumbertogomes evaluationoftheclinicalradiographicresultsofpatientsundergoingarthroscopicmetatarsalphalangealarthrodesisofthehallux AT joaomurilobrandaomagalhaes evaluationoftheclinicalradiographicresultsofpatientsundergoingarthroscopicmetatarsalphalangealarthrodesisofthehallux AT wagnervieiradafonseca evaluationoftheclinicalradiographicresultsofpatientsundergoingarthroscopicmetatarsalphalangealarthrodesisofthehallux AT tauamfilipegalomagalhaes evaluationoftheclinicalradiographicresultsofpatientsundergoingarthroscopicmetatarsalphalangealarthrodesisofthehallux AT luizeduardomoreirateixeira evaluationoftheclinicalradiographicresultsofpatientsundergoingarthroscopicmetatarsalphalangealarthrodesisofthehallux |