Synthetic cartilage implant hemiarthroplasty versus cheilectomy for the treatment of hallux rigidus
Degenerative arthritis of the first metatarsophalangeal joint, hallux rigidus, is the most common type of arthritis of the foot, affecting nearly 2.5% of the population over the age of 50. Hallux rigidus can be treated surgically with either Cheilectomy or Synthetic cartilage implant (SCI) hemiarthr...
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Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2023-08, Vol.33 (6), p.2567-2572 |
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creator | Hoskins, Tyler Barr, Stephen Begley, Brian Fitzpatrick, Brendan Senat, Schamma Patel, Jay Heiman, Erick Mazzei, Christopher Miller, Justin Wittig, James Epstein, David |
description | Degenerative arthritis of the first metatarsophalangeal joint, hallux rigidus, is the most common type of arthritis of the foot, affecting nearly 2.5% of the population over the age of 50. Hallux rigidus can be treated surgically with either Cheilectomy or Synthetic cartilage implant (SCI) hemiarthroplasty. The purpose of this study is to compare outcomes from a single institution on the treatment of hallux rigidus using cheilectomy and SCI hemiarthroplasty. Between 2012 and 2020, 49 patients underwent either a SCI (Polyvinyl alcohol hydrogels) hemiarthroplasty or Cheilectomy for the treatment of hallux rigidus. Functional scores were assessed pre and postoperatively using the American Orthopedic Foot and Ankle scoring System (AOFAS) and the Foot and Ankle Outcome Score survey (FAOS). Plantar and Dorsal range of motion was also assessed pre and postoperatively. Outcomes, complications, and any reoperations were recorded for all patients. Mean pre-op AOFAS for Cheilectomy and SCI were 49.6 and 54.8, respectively, compared to 85.3 and 89.7, respectively, after surgery (
p
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doi_str_mv | 10.1007/s00590-022-03469-8 |
format | Article |
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p
value < 0.05). Mean pre-op Dorsal range of motion (ROM) for Cheilectomy and SCI were 24.0 and 26.0 degrees, respectively, compared to 38.0 and 42.6 degrees, respectively, after surgery (
p
value < 0.05). SCI hemiarthroplasty patients had higher AOFAS and dorsal ROM at the latest follow up (
p
value < 0.05). Synthetic cartilage implant (SCI) hemiarthroplasty and cheilectomy both offer promising results and remain viable treatment options to decrease pain, improve function, and maintain motion for hallux rigidus. SCI hemiarthroplasty may offer superior range of motion and functional outcomes than cheilectomy for hallux rigidus.
Level of Clinical Evidence
3.</description><identifier>ISSN: 1432-1068</identifier><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-022-03469-8</identifier><identifier>PMID: 36652016</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Arthritis ; Cartilage ; Medicine ; Medicine & Public Health ; Original Article ; Polyvinyl alcohol ; Range of motion ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2023-08, Vol.33 (6), p.2567-2572</ispartof><rights>This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023</rights><rights>2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.</rights><rights>This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-d2dd0a734be22e12d1d02cbdf57ea251aa7756b5ac663d4bf3af56b010f619bd3</citedby><cites>FETCH-LOGICAL-c375t-d2dd0a734be22e12d1d02cbdf57ea251aa7756b5ac663d4bf3af56b010f619bd3</cites><orcidid>0000-0002-1385-3067</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-022-03469-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-022-03469-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36652016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoskins, Tyler</creatorcontrib><creatorcontrib>Barr, Stephen</creatorcontrib><creatorcontrib>Begley, Brian</creatorcontrib><creatorcontrib>Fitzpatrick, Brendan</creatorcontrib><creatorcontrib>Senat, Schamma</creatorcontrib><creatorcontrib>Patel, Jay</creatorcontrib><creatorcontrib>Heiman, Erick</creatorcontrib><creatorcontrib>Mazzei, Christopher</creatorcontrib><creatorcontrib>Miller, Justin</creatorcontrib><creatorcontrib>Wittig, James</creatorcontrib><creatorcontrib>Epstein, David</creatorcontrib><title>Synthetic cartilage implant hemiarthroplasty versus cheilectomy for the treatment of hallux rigidus</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Degenerative arthritis of the first metatarsophalangeal joint, hallux rigidus, is the most common type of arthritis of the foot, affecting nearly 2.5% of the population over the age of 50. Hallux rigidus can be treated surgically with either Cheilectomy or Synthetic cartilage implant (SCI) hemiarthroplasty. The purpose of this study is to compare outcomes from a single institution on the treatment of hallux rigidus using cheilectomy and SCI hemiarthroplasty. Between 2012 and 2020, 49 patients underwent either a SCI (Polyvinyl alcohol hydrogels) hemiarthroplasty or Cheilectomy for the treatment of hallux rigidus. Functional scores were assessed pre and postoperatively using the American Orthopedic Foot and Ankle scoring System (AOFAS) and the Foot and Ankle Outcome Score survey (FAOS). Plantar and Dorsal range of motion was also assessed pre and postoperatively. Outcomes, complications, and any reoperations were recorded for all patients. Mean pre-op AOFAS for Cheilectomy and SCI were 49.6 and 54.8, respectively, compared to 85.3 and 89.7, respectively, after surgery (
p
value < 0.05). Mean pre-op Dorsal range of motion (ROM) for Cheilectomy and SCI were 24.0 and 26.0 degrees, respectively, compared to 38.0 and 42.6 degrees, respectively, after surgery (
p
value < 0.05). SCI hemiarthroplasty patients had higher AOFAS and dorsal ROM at the latest follow up (
p
value < 0.05). Synthetic cartilage implant (SCI) hemiarthroplasty and cheilectomy both offer promising results and remain viable treatment options to decrease pain, improve function, and maintain motion for hallux rigidus. SCI hemiarthroplasty may offer superior range of motion and functional outcomes than cheilectomy for hallux rigidus.
Level of Clinical Evidence
3.</description><subject>Arthritis</subject><subject>Cartilage</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Polyvinyl alcohol</subject><subject>Range of motion</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1432-1068</issn><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU9PHSEUxUmjqX_aL9CFIXHjZvQCA8wsG6OtiYkL65owcOcNZubNKzBN37eX-qxtXLiCC79zuJdDyBcG5wxAXyQA2UIFnFcgatVWzQdyyGrBKwaq2ftvf0COUnoEYLJl8iM5EEpJDkwdEne_XecBc3DU2ZjDaFdIw7QZ7TrTAadQDoc4lzrlLf2FMS2JugHDiC7P05b2c6TFgOaINk9YVHNPBzuOy28awyr4JX0i-70dE35-WY_Jw_XVj8vv1e3dt5vLr7eVE1rmynPvwWpRd8g5Mu6ZB-4630uNlktmrdZSddI6pYSvu17YvtTAoFes7bw4Jmc7302cfy6YsplCcjiWWXBekuFaKc2hqduCnr5BH-clrkt3hjc1U1qwVheK7ygX55Qi9mYTw2Tj1jAwfyIwuwhMicA8R2CaIjp5sV66Cf2r5O-fF0DsgFSu1iuM_95-x_YJjiSTkA</recordid><startdate>20230801</startdate><enddate>20230801</enddate><creator>Hoskins, Tyler</creator><creator>Barr, Stephen</creator><creator>Begley, Brian</creator><creator>Fitzpatrick, Brendan</creator><creator>Senat, Schamma</creator><creator>Patel, Jay</creator><creator>Heiman, Erick</creator><creator>Mazzei, Christopher</creator><creator>Miller, Justin</creator><creator>Wittig, James</creator><creator>Epstein, David</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1385-3067</orcidid></search><sort><creationdate>20230801</creationdate><title>Synthetic cartilage implant hemiarthroplasty versus cheilectomy for the treatment of hallux rigidus</title><author>Hoskins, Tyler ; Barr, Stephen ; Begley, Brian ; Fitzpatrick, Brendan ; Senat, Schamma ; Patel, Jay ; Heiman, Erick ; Mazzei, Christopher ; Miller, Justin ; Wittig, James ; Epstein, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-d2dd0a734be22e12d1d02cbdf57ea251aa7756b5ac663d4bf3af56b010f619bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Arthritis</topic><topic>Cartilage</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Polyvinyl alcohol</topic><topic>Range of motion</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoskins, Tyler</creatorcontrib><creatorcontrib>Barr, Stephen</creatorcontrib><creatorcontrib>Begley, Brian</creatorcontrib><creatorcontrib>Fitzpatrick, Brendan</creatorcontrib><creatorcontrib>Senat, Schamma</creatorcontrib><creatorcontrib>Patel, Jay</creatorcontrib><creatorcontrib>Heiman, Erick</creatorcontrib><creatorcontrib>Mazzei, Christopher</creatorcontrib><creatorcontrib>Miller, Justin</creatorcontrib><creatorcontrib>Wittig, James</creatorcontrib><creatorcontrib>Epstein, David</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoskins, Tyler</au><au>Barr, Stephen</au><au>Begley, Brian</au><au>Fitzpatrick, Brendan</au><au>Senat, Schamma</au><au>Patel, Jay</au><au>Heiman, Erick</au><au>Mazzei, Christopher</au><au>Miller, Justin</au><au>Wittig, James</au><au>Epstein, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Synthetic cartilage implant hemiarthroplasty versus cheilectomy for the treatment of hallux rigidus</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2023-08-01</date><risdate>2023</risdate><volume>33</volume><issue>6</issue><spage>2567</spage><epage>2572</epage><pages>2567-2572</pages><issn>1432-1068</issn><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Degenerative arthritis of the first metatarsophalangeal joint, hallux rigidus, is the most common type of arthritis of the foot, affecting nearly 2.5% of the population over the age of 50. Hallux rigidus can be treated surgically with either Cheilectomy or Synthetic cartilage implant (SCI) hemiarthroplasty. The purpose of this study is to compare outcomes from a single institution on the treatment of hallux rigidus using cheilectomy and SCI hemiarthroplasty. Between 2012 and 2020, 49 patients underwent either a SCI (Polyvinyl alcohol hydrogels) hemiarthroplasty or Cheilectomy for the treatment of hallux rigidus. Functional scores were assessed pre and postoperatively using the American Orthopedic Foot and Ankle scoring System (AOFAS) and the Foot and Ankle Outcome Score survey (FAOS). Plantar and Dorsal range of motion was also assessed pre and postoperatively. Outcomes, complications, and any reoperations were recorded for all patients. Mean pre-op AOFAS for Cheilectomy and SCI were 49.6 and 54.8, respectively, compared to 85.3 and 89.7, respectively, after surgery (
p
value < 0.05). Mean pre-op Dorsal range of motion (ROM) for Cheilectomy and SCI were 24.0 and 26.0 degrees, respectively, compared to 38.0 and 42.6 degrees, respectively, after surgery (
p
value < 0.05). SCI hemiarthroplasty patients had higher AOFAS and dorsal ROM at the latest follow up (
p
value < 0.05). Synthetic cartilage implant (SCI) hemiarthroplasty and cheilectomy both offer promising results and remain viable treatment options to decrease pain, improve function, and maintain motion for hallux rigidus. SCI hemiarthroplasty may offer superior range of motion and functional outcomes than cheilectomy for hallux rigidus.
Level of Clinical Evidence
3.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>36652016</pmid><doi>10.1007/s00590-022-03469-8</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1385-3067</orcidid></addata></record> |
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source | SpringerLink Journals - AutoHoldings |
subjects | Arthritis Cartilage Medicine Medicine & Public Health Original Article Polyvinyl alcohol Range of motion Surgical Orthopedics Traumatic Surgery |
title | Synthetic cartilage implant hemiarthroplasty versus cheilectomy for the treatment of hallux rigidus |
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