Short-Term Clinical Outcome of Hemiarthroplasty Versus Arthrodesis for End-Stage Hallux Rigidus
Abstract Few data are available to compare the outcomes of first metatarsophalangeal joint (MTPJ) hemiarthroplasty and arthrodesis. We included 46 patients who had undergone BioPro® first MTPJ hemiarthroplasty and 132 who had undergone arthrodesis, with a minimum follow-up duration of 12 months. The...
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| Veröffentlicht in: | The Journal of foot and ankle surgery 2015-09, Vol.54 (5), p.848-851 |
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| creator | Simons, Karin H., MD van der Woude, Pieter, MD Faber, Frank W.M., MD, PhD van Kampen, Paulien M., PhD Thomassen, Bregje J.W., PhD |
| description | Abstract Few data are available to compare the outcomes of first metatarsophalangeal joint (MTPJ) hemiarthroplasty and arthrodesis. We included 46 patients who had undergone BioPro® first MTPJ hemiarthroplasty and 132 who had undergone arthrodesis, with a minimum follow-up duration of 12 months. The primary outcome was patient satisfaction, which was determined using binominal questions. The Foot and Ankle Outcome Score, Foot Function Index, and Numerical Rating Scale for pain and limitations questionnaires were also used. The secondary outcome was treatment failure. No differences were found in the satisfaction rate ( p = .54) after a median period of 38.4 (range 12 to 96) months and 39.8 (range 12 to 96) months in the hemiarthroplasty and arthrodesis patients, respectively. Furthermore, no differences were found in the failure rates ( p = .93) or the interval to failure ( p = .32).The results of the present study showed no significant differences in the short-term clinical outcomes and failure rates for BioPro® first MTPJ hemiarthroplasty and arthrodesis. Prospective comparative studies are required to determine whether BioPro® first MTPJ hemiarthroplasty is a good alternative for first MTPJ arthrodesis in the long term. |
| doi_str_mv | 10.1053/j.jfas.2015.01.008 |
| format | Article |
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We included 46 patients who had undergone BioPro® first MTPJ hemiarthroplasty and 132 who had undergone arthrodesis, with a minimum follow-up duration of 12 months. The primary outcome was patient satisfaction, which was determined using binominal questions. The Foot and Ankle Outcome Score, Foot Function Index, and Numerical Rating Scale for pain and limitations questionnaires were also used. The secondary outcome was treatment failure. No differences were found in the satisfaction rate ( p = .54) after a median period of 38.4 (range 12 to 96) months and 39.8 (range 12 to 96) months in the hemiarthroplasty and arthrodesis patients, respectively. Furthermore, no differences were found in the failure rates ( p = .93) or the interval to failure ( p = .32).The results of the present study showed no significant differences in the short-term clinical outcomes and failure rates for BioPro® first MTPJ hemiarthroplasty and arthrodesis. Prospective comparative studies are required to determine whether BioPro® first MTPJ hemiarthroplasty is a good alternative for first MTPJ arthrodesis in the long term.</description><identifier>ISSN: 1067-2516</identifier><identifier>EISSN: 1542-2224</identifier><identifier>DOI: 10.1053/j.jfas.2015.01.008</identifier><identifier>PMID: 26007628</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age Factors ; Aged ; arthrodesis ; Arthrodesis - adverse effects ; Arthrodesis - methods ; Cohort Studies ; Female ; first metatarsophalangeal joint ; Follow-Up Studies ; hallux rigidus ; Hallux Rigidus - diagnostic imaging ; Hallux Rigidus - surgery ; hemiarthroplasty ; Hemiarthroplasty - adverse effects ; Hemiarthroplasty - methods ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Orthopedics ; Patient Satisfaction - statistics & numerical data ; Postoperative Complications - epidemiology ; Postoperative Complications - physiopathology ; Radiography ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Sex Factors ; Statistics, Nonparametric ; Treatment Outcome</subject><ispartof>The Journal of foot and ankle surgery, 2015-09, Vol.54 (5), p.848-851</ispartof><rights>American College of Foot and Ankle Surgeons</rights><rights>2015 American College of Foot and Ankle Surgeons</rights><rights>Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-dfc45fbccb759b9d9f31c040cfa71a7fe5ce0a90feb67ea2a63de8e03e022bdd3</citedby><cites>FETCH-LOGICAL-c444t-dfc45fbccb759b9d9f31c040cfa71a7fe5ce0a90feb67ea2a63de8e03e022bdd3</cites><orcidid>0000-0002-1604-8151</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.jfas.2015.01.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26007628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simons, Karin H., MD</creatorcontrib><creatorcontrib>van der Woude, Pieter, MD</creatorcontrib><creatorcontrib>Faber, Frank W.M., MD, PhD</creatorcontrib><creatorcontrib>van Kampen, Paulien M., PhD</creatorcontrib><creatorcontrib>Thomassen, Bregje J.W., PhD</creatorcontrib><title>Short-Term Clinical Outcome of Hemiarthroplasty Versus Arthrodesis for End-Stage Hallux Rigidus</title><title>The Journal of foot and ankle surgery</title><addtitle>J Foot Ankle Surg</addtitle><description>Abstract Few data are available to compare the outcomes of first metatarsophalangeal joint (MTPJ) hemiarthroplasty and arthrodesis. We included 46 patients who had undergone BioPro® first MTPJ hemiarthroplasty and 132 who had undergone arthrodesis, with a minimum follow-up duration of 12 months. The primary outcome was patient satisfaction, which was determined using binominal questions. The Foot and Ankle Outcome Score, Foot Function Index, and Numerical Rating Scale for pain and limitations questionnaires were also used. The secondary outcome was treatment failure. No differences were found in the satisfaction rate ( p = .54) after a median period of 38.4 (range 12 to 96) months and 39.8 (range 12 to 96) months in the hemiarthroplasty and arthrodesis patients, respectively. Furthermore, no differences were found in the failure rates ( p = .93) or the interval to failure ( p = .32).The results of the present study showed no significant differences in the short-term clinical outcomes and failure rates for BioPro® first MTPJ hemiarthroplasty and arthrodesis. Prospective comparative studies are required to determine whether BioPro® first MTPJ hemiarthroplasty is a good alternative for first MTPJ arthrodesis in the long term.</description><subject>Age Factors</subject><subject>Aged</subject><subject>arthrodesis</subject><subject>Arthrodesis - adverse effects</subject><subject>Arthrodesis - methods</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>first metatarsophalangeal joint</subject><subject>Follow-Up Studies</subject><subject>hallux rigidus</subject><subject>Hallux Rigidus - diagnostic imaging</subject><subject>Hallux Rigidus - surgery</subject><subject>hemiarthroplasty</subject><subject>Hemiarthroplasty - adverse effects</subject><subject>Hemiarthroplasty - methods</subject><subject>Humans</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Sex Factors</subject><subject>Statistics, Nonparametric</subject><subject>Treatment Outcome</subject><issn>1067-2516</issn><issn>1542-2224</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS0EoqXwBTggH7kkjJ04fySEVK1KF6lSJbZwtRx73Dok8WInFfvt67ALBw7MxSPrvSfN7xHylkHOQBQf-ry3KuYcmMiB5QDNM3LORMkzznn5PO1Q1RkXrDojr2LsAThvG_GSnPEKoK54c07k7sGHObvDMNLN4Can1UBvl1n7Eam3dIujU2F-CH4_qDgf6HcMcYn08vefwegitT7Qq8lku1ndI92qYVh-0a_u3pklviYvrBoivjm9F-Tb56u7zTa7ub3-srm8yXRZlnNmrC6F7bTuatF2rWltwTSUoK2qmaotCo2gWrDYVTUqrqrCYINQYLqpM6a4IO-Pufvgfy4YZzm6qHEY1IR-iZLV0DDRtlWVpPwo1cHHGNDKfXCjCgfJQK5gZS9XsHIFK4HJBDaZ3p3yl25E89fyh2QSfDwKMF356DDIqB1OGo0LqGdpvPt__qd_7PrUxg88YOz9EqbETzIZuQS5W6tdm2UC0rSieAKNnqCK</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Simons, Karin H., MD</creator><creator>van der Woude, Pieter, MD</creator><creator>Faber, Frank W.M., MD, PhD</creator><creator>van Kampen, Paulien M., PhD</creator><creator>Thomassen, Bregje J.W., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1604-8151</orcidid></search><sort><creationdate>20150901</creationdate><title>Short-Term Clinical Outcome of Hemiarthroplasty Versus Arthrodesis for End-Stage Hallux Rigidus</title><author>Simons, Karin H., MD ; van der Woude, Pieter, MD ; Faber, Frank W.M., MD, PhD ; van Kampen, Paulien M., PhD ; Thomassen, Bregje J.W., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-dfc45fbccb759b9d9f31c040cfa71a7fe5ce0a90feb67ea2a63de8e03e022bdd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>arthrodesis</topic><topic>Arthrodesis - adverse effects</topic><topic>Arthrodesis - methods</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>first metatarsophalangeal joint</topic><topic>Follow-Up Studies</topic><topic>hallux rigidus</topic><topic>Hallux Rigidus - diagnostic imaging</topic><topic>Hallux Rigidus - surgery</topic><topic>hemiarthroplasty</topic><topic>Hemiarthroplasty - adverse effects</topic><topic>Hemiarthroplasty - methods</topic><topic>Humans</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Sex Factors</topic><topic>Statistics, Nonparametric</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simons, Karin H., MD</creatorcontrib><creatorcontrib>van der Woude, Pieter, MD</creatorcontrib><creatorcontrib>Faber, Frank W.M., MD, PhD</creatorcontrib><creatorcontrib>van Kampen, Paulien M., PhD</creatorcontrib><creatorcontrib>Thomassen, Bregje J.W., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simons, Karin H., MD</au><au>van der Woude, Pieter, MD</au><au>Faber, Frank W.M., MD, PhD</au><au>van Kampen, Paulien M., PhD</au><au>Thomassen, Bregje J.W., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Short-Term Clinical Outcome of Hemiarthroplasty Versus Arthrodesis for End-Stage Hallux Rigidus</atitle><jtitle>The Journal of foot and ankle surgery</jtitle><addtitle>J Foot Ankle Surg</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>54</volume><issue>5</issue><spage>848</spage><epage>851</epage><pages>848-851</pages><issn>1067-2516</issn><eissn>1542-2224</eissn><abstract>Abstract Few data are available to compare the outcomes of first metatarsophalangeal joint (MTPJ) hemiarthroplasty and arthrodesis. We included 46 patients who had undergone BioPro® first MTPJ hemiarthroplasty and 132 who had undergone arthrodesis, with a minimum follow-up duration of 12 months. The primary outcome was patient satisfaction, which was determined using binominal questions. The Foot and Ankle Outcome Score, Foot Function Index, and Numerical Rating Scale for pain and limitations questionnaires were also used. The secondary outcome was treatment failure. No differences were found in the satisfaction rate ( p = .54) after a median period of 38.4 (range 12 to 96) months and 39.8 (range 12 to 96) months in the hemiarthroplasty and arthrodesis patients, respectively. Furthermore, no differences were found in the failure rates ( p = .93) or the interval to failure ( p = .32).The results of the present study showed no significant differences in the short-term clinical outcomes and failure rates for BioPro® first MTPJ hemiarthroplasty and arthrodesis. Prospective comparative studies are required to determine whether BioPro® first MTPJ hemiarthroplasty is a good alternative for first MTPJ arthrodesis in the long term.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26007628</pmid><doi>10.1053/j.jfas.2015.01.008</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-1604-8151</orcidid></addata></record> |
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| subjects | Age Factors Aged arthrodesis Arthrodesis - adverse effects Arthrodesis - methods Cohort Studies Female first metatarsophalangeal joint Follow-Up Studies hallux rigidus Hallux Rigidus - diagnostic imaging Hallux Rigidus - surgery hemiarthroplasty Hemiarthroplasty - adverse effects Hemiarthroplasty - methods Humans Kaplan-Meier Estimate Male Middle Aged Orthopedics Patient Satisfaction - statistics & numerical data Postoperative Complications - epidemiology Postoperative Complications - physiopathology Radiography Retrospective Studies Risk Assessment Severity of Illness Index Sex Factors Statistics, Nonparametric Treatment Outcome |
| title | Short-Term Clinical Outcome of Hemiarthroplasty Versus Arthrodesis for End-Stage Hallux Rigidus |
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