Surgical treatment of Hallux Rigidus – arthrodesis or resection arthroplasty? Retrospective observational study
Introduction. Hallux Rigidus, a degenerative disease of the first metatarsophalangeal joint (MTP), causes pain during movement, reduces joint mobility, and impairs quality of life. Conservative treatment methods are effective only in the early stages of the disease, and surgical treatment is usuall...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Vilnius University Press
2023-11-01
|
| Series: | Lietuvos Chirurgija |
| Subjects: | |
| Online Access: | https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33728 |
| _version_ | 1797194495529320448 |
|---|---|
| author | Dovydas Rapolis Matas Urmanavičius Aleksas Makulavičius Valentinas Uvarovas |
| author_facet | Dovydas Rapolis Matas Urmanavičius Aleksas Makulavičius Valentinas Uvarovas |
| author_sort | Dovydas Rapolis |
| collection | DOAJ |
| description |
Introduction. Hallux Rigidus, a degenerative disease of the first metatarsophalangeal joint (MTP), causes pain during movement, reduces joint mobility, and impairs quality of life. Conservative treatment methods are effective only in the early stages of the disease, and surgical treatment is usually recommended for advanced pathology. Arthrodesis procedure is the gold standard. This surgery effectively and relatively quickly reduces painful symptoms but sacrifices joint mobility. An alternative is resection arthroplasty. There is no consensus in the literature regarding the long-term outcomes of these two treatment methods. The aim of this study is to determine which method is superior in improving patients’ quality of life and foot function. Methods. A retrospective observational study was conducted on 41 patients who were followed up for 2–4 years after surgery. Of these, 20 underwent resection arthroplasty, 21 – arthrodesis. Patients’ quality of life and subjective foot function were assessed using two standardized questionnaires: SEFAS and Short Form-12. Additional questions on patient satisfaction with the surgery were also evaluated. Results. Patient satisfaction with the surgery was high in both groups (80%). There were no statistically significant differences in patients’ ankle and foot function assessed by SEFAS scale and psychological quality of life assessed by SF 12 (Mental Score): p = 0.14 and p = 0.729, respectively. Patients rated their physical quality of life significantly better, assessed by SF 12 (Physical Score), after undergoing arthroplasty (p = 0.02), and foot function recovered approximately 1 month faster compared to arthrodesis (p = 0.006). There were no cases of revision surgery, infectious complications, or non-unions in either group. Conclusions. Both surgical techniques are effective and improve patients’ functional status, but subjective foot function is better in the early postoperative period after resection arthroplasty. The majority of patients in both groups would recommend the surgery under similar circumstances.
|
| first_indexed | 2024-03-07T15:41:06Z |
| format | Article |
| id | doaj.art-e48c50bb8c0d4ae89bdfa27fc1db8816 |
| institution | Directory Open Access Journal |
| issn | 1392-0995 1648-9942 |
| language | English |
| last_indexed | 2024-04-24T05:57:11Z |
| publishDate | 2023-11-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Lietuvos Chirurgija |
| spelling | doaj.art-e48c50bb8c0d4ae89bdfa27fc1db88162024-04-23T09:00:11ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422023-11-0122410.15388/LietChirur.2023.22(4).1Surgical treatment of Hallux Rigidus – arthrodesis or resection arthroplasty? Retrospective observational studyDovydas Rapolis0Matas Urmanavičius1Aleksas Makulavičius2Valentinas Uvarovas3Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, Lithuania Introduction. Hallux Rigidus, a degenerative disease of the first metatarsophalangeal joint (MTP), causes pain during movement, reduces joint mobility, and impairs quality of life. Conservative treatment methods are effective only in the early stages of the disease, and surgical treatment is usually recommended for advanced pathology. Arthrodesis procedure is the gold standard. This surgery effectively and relatively quickly reduces painful symptoms but sacrifices joint mobility. An alternative is resection arthroplasty. There is no consensus in the literature regarding the long-term outcomes of these two treatment methods. The aim of this study is to determine which method is superior in improving patients’ quality of life and foot function. Methods. A retrospective observational study was conducted on 41 patients who were followed up for 2–4 years after surgery. Of these, 20 underwent resection arthroplasty, 21 – arthrodesis. Patients’ quality of life and subjective foot function were assessed using two standardized questionnaires: SEFAS and Short Form-12. Additional questions on patient satisfaction with the surgery were also evaluated. Results. Patient satisfaction with the surgery was high in both groups (80%). There were no statistically significant differences in patients’ ankle and foot function assessed by SEFAS scale and psychological quality of life assessed by SF 12 (Mental Score): p = 0.14 and p = 0.729, respectively. Patients rated their physical quality of life significantly better, assessed by SF 12 (Physical Score), after undergoing arthroplasty (p = 0.02), and foot function recovered approximately 1 month faster compared to arthrodesis (p = 0.006). There were no cases of revision surgery, infectious complications, or non-unions in either group. Conclusions. Both surgical techniques are effective and improve patients’ functional status, but subjective foot function is better in the early postoperative period after resection arthroplasty. The majority of patients in both groups would recommend the surgery under similar circumstances. https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33728Hallux rigidusarthrodesisresection arthroplastyinterposition arthroplastyfirst metatarsophalangeal joint |
| spellingShingle | Dovydas Rapolis Matas Urmanavičius Aleksas Makulavičius Valentinas Uvarovas Surgical treatment of Hallux Rigidus – arthrodesis or resection arthroplasty? Retrospective observational study Lietuvos Chirurgija Hallux rigidus arthrodesis resection arthroplasty interposition arthroplasty first metatarsophalangeal joint |
| title | Surgical treatment of Hallux Rigidus – arthrodesis or resection arthroplasty? Retrospective observational study |
| title_full | Surgical treatment of Hallux Rigidus – arthrodesis or resection arthroplasty? Retrospective observational study |
| title_fullStr | Surgical treatment of Hallux Rigidus – arthrodesis or resection arthroplasty? Retrospective observational study |
| title_full_unstemmed | Surgical treatment of Hallux Rigidus – arthrodesis or resection arthroplasty? Retrospective observational study |
| title_short | Surgical treatment of Hallux Rigidus – arthrodesis or resection arthroplasty? Retrospective observational study |
| title_sort | surgical treatment of hallux rigidus arthrodesis or resection arthroplasty retrospective observational study |
| topic | Hallux rigidus arthrodesis resection arthroplasty interposition arthroplasty first metatarsophalangeal joint |
| url | https://www.journals.vu.lt/lietuvos-chirurgija/article/view/33728 |
| work_keys_str_mv | AT dovydasrapolis surgicaltreatmentofhalluxrigidusarthrodesisorresectionarthroplastyretrospectiveobservationalstudy AT matasurmanavicius surgicaltreatmentofhalluxrigidusarthrodesisorresectionarthroplastyretrospectiveobservationalstudy AT aleksasmakulavicius surgicaltreatmentofhalluxrigidusarthrodesisorresectionarthroplastyretrospectiveobservationalstudy AT valentinasuvarovas surgicaltreatmentofhalluxrigidusarthrodesisorresectionarthroplastyretrospectiveobservationalstudy |