Comparison of Physical Function and Pain Levels of Hallux Rigidus Patients before and after Synthetic Cartilage Implant vs Arthrodesis Surgery
Category: Bunion; Midfoot/Forefoot Introduction/Purpose: Hallux rigidus is a common and painful degenerative condition of the great toe limiting a patient's physical function and quality of life. The purpose of this study was to investigate pre- and postoperative physical function (PF) and pain...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-01-01
|
| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011421S00381 |
| _version_ | 1831642399835684864 |
|---|---|
| author | Irvin Oh MD Peter Joo BS Judith F. Baumhauer MD, MS, MPH Jeffrey Houck PT, PhD Jessica M. Kohring MD Adolph S. Flemister MD John P. Ketz MD Benedict F. DiGiovanni MD |
| author_facet | Irvin Oh MD Peter Joo BS Judith F. Baumhauer MD, MS, MPH Jeffrey Houck PT, PhD Jessica M. Kohring MD Adolph S. Flemister MD John P. Ketz MD Benedict F. DiGiovanni MD |
| author_sort | Irvin Oh MD |
| collection | DOAJ |
| description | Category: Bunion; Midfoot/Forefoot Introduction/Purpose: Hallux rigidus is a common and painful degenerative condition of the great toe limiting a patient's physical function and quality of life. The purpose of this study was to investigate pre- and postoperative physical function (PF) and pain interference (PI) levels of patients undergoing synthetic cartilage implant hemiarthroplasty (SCI) versus arthrodesis (AD) for treatment of hallux rigidus using the Patient Reported Outcome Measurement Information System (PROMIS). Methods: Pre- and postoperative PROMIS PF and PI t-scores were analyzed for patients who underwent either SCI or AD. Postoperative final PROMIS t-scores were obtained via phone survey. Linear mixed model analysis was used to assess differences in PF and PI at each follow up point. Final follow-up scores were analyzed using independent sample t-tests. Results: Total 181 (59 SCI, 122 AD) operatively managed patients were included for analysis of PROMIS scores. Final phone survey was performed at mean 33 (14-59) months postoperatively, with 101 patients (40 SCI, 61 AD) successfully contacted. Mean age of the SCI cohort was younger than the AD cohort (57.5 versus 61.5 years-old, p = 0.01). Average PF t-scores were higher in the SCI cohort compared to AD cohort at baseline (47.1 versus 43.9, respectively; p = 0.01) and at final follow up (51.4 versus 45.9, respectively; p < 0.01). A main effect of superior improvement in PF was detected in SCI group (+4.3) versus AD group (+2) across time intervals (p < 0.01). PI t-scores were similar between the two procedures across time points. Conclusion: The SCI cohort reported superior PF t-scores at all follow-up time points compared to the arthrodesis group. No differences were found for PI or complication rates between the two treatment groups during this study timeframe. |
| first_indexed | 2024-12-19T12:41:34Z |
| format | Article |
| id | doaj.art-a298ab429b034f25bb10c57e2f602d5e |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-19T12:41:34Z |
| publishDate | 2022-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-a298ab429b034f25bb10c57e2f602d5e2022-12-21T20:20:57ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142022-01-01710.1177/2473011421S00381Comparison of Physical Function and Pain Levels of Hallux Rigidus Patients before and after Synthetic Cartilage Implant vs Arthrodesis SurgeryIrvin Oh MDPeter Joo BSJudith F. Baumhauer MD, MS, MPHJeffrey Houck PT, PhDJessica M. Kohring MDAdolph S. Flemister MDJohn P. Ketz MDBenedict F. DiGiovanni MDCategory: Bunion; Midfoot/Forefoot Introduction/Purpose: Hallux rigidus is a common and painful degenerative condition of the great toe limiting a patient's physical function and quality of life. The purpose of this study was to investigate pre- and postoperative physical function (PF) and pain interference (PI) levels of patients undergoing synthetic cartilage implant hemiarthroplasty (SCI) versus arthrodesis (AD) for treatment of hallux rigidus using the Patient Reported Outcome Measurement Information System (PROMIS). Methods: Pre- and postoperative PROMIS PF and PI t-scores were analyzed for patients who underwent either SCI or AD. Postoperative final PROMIS t-scores were obtained via phone survey. Linear mixed model analysis was used to assess differences in PF and PI at each follow up point. Final follow-up scores were analyzed using independent sample t-tests. Results: Total 181 (59 SCI, 122 AD) operatively managed patients were included for analysis of PROMIS scores. Final phone survey was performed at mean 33 (14-59) months postoperatively, with 101 patients (40 SCI, 61 AD) successfully contacted. Mean age of the SCI cohort was younger than the AD cohort (57.5 versus 61.5 years-old, p = 0.01). Average PF t-scores were higher in the SCI cohort compared to AD cohort at baseline (47.1 versus 43.9, respectively; p = 0.01) and at final follow up (51.4 versus 45.9, respectively; p < 0.01). A main effect of superior improvement in PF was detected in SCI group (+4.3) versus AD group (+2) across time intervals (p < 0.01). PI t-scores were similar between the two procedures across time points. Conclusion: The SCI cohort reported superior PF t-scores at all follow-up time points compared to the arthrodesis group. No differences were found for PI or complication rates between the two treatment groups during this study timeframe.https://doi.org/10.1177/2473011421S00381 |
| spellingShingle | Irvin Oh MD Peter Joo BS Judith F. Baumhauer MD, MS, MPH Jeffrey Houck PT, PhD Jessica M. Kohring MD Adolph S. Flemister MD John P. Ketz MD Benedict F. DiGiovanni MD Comparison of Physical Function and Pain Levels of Hallux Rigidus Patients before and after Synthetic Cartilage Implant vs Arthrodesis Surgery Foot & Ankle Orthopaedics |
| title | Comparison of Physical Function and Pain Levels of Hallux Rigidus Patients before and after Synthetic Cartilage Implant vs Arthrodesis Surgery |
| title_full | Comparison of Physical Function and Pain Levels of Hallux Rigidus Patients before and after Synthetic Cartilage Implant vs Arthrodesis Surgery |
| title_fullStr | Comparison of Physical Function and Pain Levels of Hallux Rigidus Patients before and after Synthetic Cartilage Implant vs Arthrodesis Surgery |
| title_full_unstemmed | Comparison of Physical Function and Pain Levels of Hallux Rigidus Patients before and after Synthetic Cartilage Implant vs Arthrodesis Surgery |
| title_short | Comparison of Physical Function and Pain Levels of Hallux Rigidus Patients before and after Synthetic Cartilage Implant vs Arthrodesis Surgery |
| title_sort | comparison of physical function and pain levels of hallux rigidus patients before and after synthetic cartilage implant vs arthrodesis surgery |
| url | https://doi.org/10.1177/2473011421S00381 |
| work_keys_str_mv | AT irvinohmd comparisonofphysicalfunctionandpainlevelsofhalluxrigiduspatientsbeforeandaftersyntheticcartilageimplantvsarthrodesissurgery AT peterjoobs comparisonofphysicalfunctionandpainlevelsofhalluxrigiduspatientsbeforeandaftersyntheticcartilageimplantvsarthrodesissurgery AT judithfbaumhauermdmsmph comparisonofphysicalfunctionandpainlevelsofhalluxrigiduspatientsbeforeandaftersyntheticcartilageimplantvsarthrodesissurgery AT jeffreyhouckptphd comparisonofphysicalfunctionandpainlevelsofhalluxrigiduspatientsbeforeandaftersyntheticcartilageimplantvsarthrodesissurgery AT jessicamkohringmd comparisonofphysicalfunctionandpainlevelsofhalluxrigiduspatientsbeforeandaftersyntheticcartilageimplantvsarthrodesissurgery AT adolphsflemistermd comparisonofphysicalfunctionandpainlevelsofhalluxrigiduspatientsbeforeandaftersyntheticcartilageimplantvsarthrodesissurgery AT johnpketzmd comparisonofphysicalfunctionandpainlevelsofhalluxrigiduspatientsbeforeandaftersyntheticcartilageimplantvsarthrodesissurgery AT benedictfdigiovannimd comparisonofphysicalfunctionandpainlevelsofhalluxrigiduspatientsbeforeandaftersyntheticcartilageimplantvsarthrodesissurgery |