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
Hauptverfasser: Hoskins, Tyler, Barr, Stephen, Begley, Brian, Fitzpatrick, Brendan, Senat, Schamma, Patel, Jay, Heiman, Erick, Mazzei, Christopher, Miller, Justin, Wittig, James, Epstein, David
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container_issue 6
container_start_page 2567
container_title European journal of orthopaedic surgery & traumatology
container_volume 33
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 value 
doi_str_mv 10.1007/s00590-022-03469-8
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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 &lt; 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 &lt; 0.05). SCI hemiarthroplasty patients had higher AOFAS and dorsal ROM at the latest follow up ( p value &lt; 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. 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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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