Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint
Abstract Background Although arthroscopic surgical treatment of the first metatarsophalangeal (MTP) joint involves painful sesamoid excision, synovectomy, debridement, and partial cheilectomy, no gold standard treatment technique has been defined in the literature for hallux rigidus and focal osteoc...
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| Format: | Article |
| Language: | English |
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BMC
2017-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-017-0562-7 |
| _version_ | 1811300026134036480 |
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| author | Ersin Kuyucu Harun Mutlu Serhat Mutlu Baris Gülenç Mehmet Erdil |
| author_facet | Ersin Kuyucu Harun Mutlu Serhat Mutlu Baris Gülenç Mehmet Erdil |
| author_sort | Ersin Kuyucu |
| collection | DOAJ |
| description | Abstract Background Although arthroscopic surgical treatment of the first metatarsophalangeal (MTP) joint involves painful sesamoid excision, synovectomy, debridement, and partial cheilectomy, no gold standard treatment technique has been defined in the literature for hallux rigidus and focal osteochondral lesions. This study aimed to assess the arthroscopic treatment for early grade focal osteochondral lesions of the first MTP joint and to determine the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in a group of patients who failed conservative treatment. Methods This prospective study included 14 patients with hallux rigidus and focal osteochondral lesions of the first MTP joint who underwent surgery in 2014 and were followed on a regular basis thereafter. Results The patients had mean preoperative VPS (visual pain score) and AOFAS (American Orthopedic Foot and ankle Society)-Hallux scores of 8.14 ± 0.86 SD and 48.64 ± 4.27, respectively; the corresponding postoperative values of both scores were 1.86 ± 0.66 SD and 87.00 ± 3.70. Both VPS and AOFAS-Hallux scores changed significantly. Discussion In this prospective study, we explored the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in patients with focal osteochondral lesions of the first MTP joint. Our results showed significant improvements in VPS and AOFAS scores with this treatment. Conclusions An arthroscopic microhole drill technique can be used with impressive functional scores and without any complications in patients who failed conservative therapy for hallux rigidus with focal chondral injury. |
| first_indexed | 2024-04-13T06:45:07Z |
| format | Article |
| id | doaj.art-d0cc30cfe920449ab33c40eb8de8ce0d |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T06:45:07Z |
| publishDate | 2017-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-d0cc30cfe920449ab33c40eb8de8ce0d2022-12-22T02:57:38ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2017-04-011211510.1186/s13018-017-0562-7Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal jointErsin Kuyucu0Harun Mutlu1Serhat Mutlu2Baris Gülenç3Mehmet Erdil4Orthopedics and Traumatology, Istanbul Medipol UniversityOrthopedics and Traumatology, Taksim Ilkyardım Training and Education HospitalOrthopedics and Traumatology, Kanuni Sultan Süleyman Training and Education HospitalOrthopedics and Traumatology, Istanbul Medipol UniversityOrthopedics and Traumatology, Istanbul Medipol UniversityAbstract Background Although arthroscopic surgical treatment of the first metatarsophalangeal (MTP) joint involves painful sesamoid excision, synovectomy, debridement, and partial cheilectomy, no gold standard treatment technique has been defined in the literature for hallux rigidus and focal osteochondral lesions. This study aimed to assess the arthroscopic treatment for early grade focal osteochondral lesions of the first MTP joint and to determine the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in a group of patients who failed conservative treatment. Methods This prospective study included 14 patients with hallux rigidus and focal osteochondral lesions of the first MTP joint who underwent surgery in 2014 and were followed on a regular basis thereafter. Results The patients had mean preoperative VPS (visual pain score) and AOFAS (American Orthopedic Foot and ankle Society)-Hallux scores of 8.14 ± 0.86 SD and 48.64 ± 4.27, respectively; the corresponding postoperative values of both scores were 1.86 ± 0.66 SD and 87.00 ± 3.70. Both VPS and AOFAS-Hallux scores changed significantly. Discussion In this prospective study, we explored the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in patients with focal osteochondral lesions of the first MTP joint. Our results showed significant improvements in VPS and AOFAS scores with this treatment. Conclusions An arthroscopic microhole drill technique can be used with impressive functional scores and without any complications in patients who failed conservative therapy for hallux rigidus with focal chondral injury.http://link.springer.com/article/10.1186/s13018-017-0562-7Metatarsophalangeal jointHallux rigidusArthroscopy |
| spellingShingle | Ersin Kuyucu Harun Mutlu Serhat Mutlu Baris Gülenç Mehmet Erdil Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint Journal of Orthopaedic Surgery and Research Metatarsophalangeal joint Hallux rigidus Arthroscopy |
| title | Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint |
| title_full | Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint |
| title_fullStr | Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint |
| title_full_unstemmed | Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint |
| title_short | Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint |
| title_sort | arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint |
| topic | Metatarsophalangeal joint Hallux rigidus Arthroscopy |
| url | http://link.springer.com/article/10.1186/s13018-017-0562-7 |
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