Progressive First Metatarsal Shortening Is Observed Following Dermal Allograft Interpositional Arthroplasty in Hallux Rigidus: Short Report
Background: The main goal of this study was to evaluate postoperative changes in the length of the first metatarsal (M1) and the proximal phalanx of the hallux (P1) after acellular dermal allograft interpositional arthroplasty (ADA-IPA). We hypothesized that there would be a shortening of the first...
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| Veröffentlicht in: | Foot & ankle international 2024-12, Vol.45 (12), p.1359-1363 |
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| creator | Fayed, Aly Maher Jones, Matthew Carvalho, Kepler Alencar Mendes de Luo, Emily Acker, Antoine Barbachan Mansur, Nacime Salomão de Cesar Netto, Cesar |
| description | Background:
The main goal of this study was to evaluate postoperative changes in the length of the first metatarsal (M1) and the proximal phalanx of the hallux (P1) after acellular dermal allograft interpositional arthroplasty (ADA-IPA). We hypothesized that there would be a shortening of the first ray at the first metatarsal, the proximal phalanx, or both.
Methods:
In this retrospective study, we assessed patients who underwent ADA-IPA between 2019 and 2022. On standing anteroposterior (AP) foot radiographs, we measured first metatarsal (M1), second metatarsal (M2), proximal phalanx (P1), and the entire hallux (HX) lengths. M1/M2 and P1/HX ratios were calculated. The first metatarsophalangeal joint space was calculated. All measurements were recorded preoperatively, at 6 weeks postoperatively, and at final follow-up.
Results:
The pilot study included 11 patients. At final follow-up, we found shortening of M1 and P1 in comparison to the preoperative length, as evidenced by lower M1/M2 (82.6 ± 2.3 vs 75.4 ± 5.1; P = .001) and P1/HX ratios (53.4 ± 2.3 vs 48.9 ± 7.9; P = .001). Follow-up length was negatively correlated with M1/M2 (r = −0.76, P = .003).
Conclusion:
ADA-IPA might be associated with shortening of both first metatarsal and proximal phalanx, with the former showing progressive shortening. |
| doi_str_mv | 10.1177/10711007241281729 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3116333445</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_10711007241281729</sage_id><sourcerecordid>3116333445</sourcerecordid><originalsourceid>FETCH-LOGICAL-c222t-24c45b539bb7e65f08d4ddd5b4869b28859b26fa519b24b0600bb93f16225eff3</originalsourceid><addsrcrecordid>eNp9kU1P3DAQhq2qVflof0AvlY-9BPyVOOkNQRdWAoGgPUf2ZhKMvHHqcSj8Bv40Xi1wQepl3hnPM6-lGUK-cXbAudaHnGnOGdNCcVFzLZoPZJc3ShW61tXHnOd-sQF2yB7iHWNcS958JjuykbVWFdslT1cxDBEQ3T3QhYuY6AUkk0xE4-nNbYgJRjcOdIn00iLEe-joIngf_m1eTyCuM3eU6yGaPtHlmCBOAV1yYdx0YrqNYfIG0yN1Iz0z3s8P9NoNrpvx5_YHeg1Tli_kU288wtcX3Sd_Fr9-H58V55eny-Oj82IlhEiFUCtV2lI21mqoyp7Vneq6rrSqrhor6rrMsepNybMqyyrGrG1kzyshSuh7uU9-bH2nGP7OgKldO1yB92aEMGMrOa-klEqVGeVbdBUDYoS-naJbm_jYctZubtC-u0Ge-f5iP9s1dG8Tr0vPwMEWQDNAexfmmDeF_3F8Bt9IkQA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3116333445</pqid></control><display><type>article</type><title>Progressive First Metatarsal Shortening Is Observed Following Dermal Allograft Interpositional Arthroplasty in Hallux Rigidus: Short Report</title><source>MEDLINE</source><source>SAGE Complete A-Z List</source><creator>Fayed, Aly Maher ; Jones, Matthew ; Carvalho, Kepler Alencar Mendes de ; Luo, Emily ; Acker, Antoine ; Barbachan Mansur, Nacime Salomão ; de Cesar Netto, Cesar</creator><creatorcontrib>Fayed, Aly Maher ; Jones, Matthew ; Carvalho, Kepler Alencar Mendes de ; Luo, Emily ; Acker, Antoine ; Barbachan Mansur, Nacime Salomão ; de Cesar Netto, Cesar</creatorcontrib><description>Background:
The main goal of this study was to evaluate postoperative changes in the length of the first metatarsal (M1) and the proximal phalanx of the hallux (P1) after acellular dermal allograft interpositional arthroplasty (ADA-IPA). We hypothesized that there would be a shortening of the first ray at the first metatarsal, the proximal phalanx, or both.
Methods:
In this retrospective study, we assessed patients who underwent ADA-IPA between 2019 and 2022. On standing anteroposterior (AP) foot radiographs, we measured first metatarsal (M1), second metatarsal (M2), proximal phalanx (P1), and the entire hallux (HX) lengths. M1/M2 and P1/HX ratios were calculated. The first metatarsophalangeal joint space was calculated. All measurements were recorded preoperatively, at 6 weeks postoperatively, and at final follow-up.
Results:
The pilot study included 11 patients. At final follow-up, we found shortening of M1 and P1 in comparison to the preoperative length, as evidenced by lower M1/M2 (82.6 ± 2.3 vs 75.4 ± 5.1; P = .001) and P1/HX ratios (53.4 ± 2.3 vs 48.9 ± 7.9; P = .001). Follow-up length was negatively correlated with M1/M2 (r = −0.76, P = .003).
Conclusion:
ADA-IPA might be associated with shortening of both first metatarsal and proximal phalanx, with the former showing progressive shortening.</description><identifier>ISSN: 1071-1007</identifier><identifier>ISSN: 1944-7876</identifier><identifier>EISSN: 1944-7876</identifier><identifier>DOI: 10.1177/10711007241281729</identifier><identifier>PMID: 39387460</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Acellular Dermis ; Aged ; Allografts ; Arthroplasty - methods ; Female ; Hallux Rigidus - diagnostic imaging ; Hallux Rigidus - surgery ; Humans ; Male ; Metatarsal Bones - diagnostic imaging ; Metatarsal Bones - surgery ; Metatarsophalangeal Joint - surgery ; Middle Aged ; Pilot Projects ; Radiography ; Retrospective Studies</subject><ispartof>Foot & ankle international, 2024-12, Vol.45 (12), p.1359-1363</ispartof><rights>The Author(s) 2024</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c222t-24c45b539bb7e65f08d4ddd5b4869b28859b26fa519b24b0600bb93f16225eff3</cites><orcidid>0000-0003-0773-7286 ; 0000-0003-2237-3521 ; 0000-0003-1082-6490 ; 0000-0003-1067-727X ; 0000-0002-3905-9662 ; 0000-0001-6037-0685</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/10711007241281729$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/10711007241281729$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39387460$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fayed, Aly Maher</creatorcontrib><creatorcontrib>Jones, Matthew</creatorcontrib><creatorcontrib>Carvalho, Kepler Alencar Mendes de</creatorcontrib><creatorcontrib>Luo, Emily</creatorcontrib><creatorcontrib>Acker, Antoine</creatorcontrib><creatorcontrib>Barbachan Mansur, Nacime Salomão</creatorcontrib><creatorcontrib>de Cesar Netto, Cesar</creatorcontrib><title>Progressive First Metatarsal Shortening Is Observed Following Dermal Allograft Interpositional Arthroplasty in Hallux Rigidus: Short Report</title><title>Foot & ankle international</title><addtitle>Foot Ankle Int</addtitle><description>Background:
The main goal of this study was to evaluate postoperative changes in the length of the first metatarsal (M1) and the proximal phalanx of the hallux (P1) after acellular dermal allograft interpositional arthroplasty (ADA-IPA). We hypothesized that there would be a shortening of the first ray at the first metatarsal, the proximal phalanx, or both.
Methods:
In this retrospective study, we assessed patients who underwent ADA-IPA between 2019 and 2022. On standing anteroposterior (AP) foot radiographs, we measured first metatarsal (M1), second metatarsal (M2), proximal phalanx (P1), and the entire hallux (HX) lengths. M1/M2 and P1/HX ratios were calculated. The first metatarsophalangeal joint space was calculated. All measurements were recorded preoperatively, at 6 weeks postoperatively, and at final follow-up.
Results:
The pilot study included 11 patients. At final follow-up, we found shortening of M1 and P1 in comparison to the preoperative length, as evidenced by lower M1/M2 (82.6 ± 2.3 vs 75.4 ± 5.1; P = .001) and P1/HX ratios (53.4 ± 2.3 vs 48.9 ± 7.9; P = .001). Follow-up length was negatively correlated with M1/M2 (r = −0.76, P = .003).
Conclusion:
ADA-IPA might be associated with shortening of both first metatarsal and proximal phalanx, with the former showing progressive shortening.</description><subject>Acellular Dermis</subject><subject>Aged</subject><subject>Allografts</subject><subject>Arthroplasty - methods</subject><subject>Female</subject><subject>Hallux Rigidus - diagnostic imaging</subject><subject>Hallux Rigidus - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Metatarsal Bones - diagnostic imaging</subject><subject>Metatarsal Bones - surgery</subject><subject>Metatarsophalangeal Joint - surgery</subject><subject>Middle Aged</subject><subject>Pilot Projects</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><issn>1071-1007</issn><issn>1944-7876</issn><issn>1944-7876</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1P3DAQhq2qVflof0AvlY-9BPyVOOkNQRdWAoGgPUf2ZhKMvHHqcSj8Bv40Xi1wQepl3hnPM6-lGUK-cXbAudaHnGnOGdNCcVFzLZoPZJc3ShW61tXHnOd-sQF2yB7iHWNcS958JjuykbVWFdslT1cxDBEQ3T3QhYuY6AUkk0xE4-nNbYgJRjcOdIn00iLEe-joIngf_m1eTyCuM3eU6yGaPtHlmCBOAV1yYdx0YrqNYfIG0yN1Iz0z3s8P9NoNrpvx5_YHeg1Tli_kU288wtcX3Sd_Fr9-H58V55eny-Oj82IlhEiFUCtV2lI21mqoyp7Vneq6rrSqrhor6rrMsepNybMqyyrGrG1kzyshSuh7uU9-bH2nGP7OgKldO1yB92aEMGMrOa-klEqVGeVbdBUDYoS-naJbm_jYctZubtC-u0Ge-f5iP9s1dG8Tr0vPwMEWQDNAexfmmDeF_3F8Bt9IkQA</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Fayed, Aly Maher</creator><creator>Jones, Matthew</creator><creator>Carvalho, Kepler Alencar Mendes de</creator><creator>Luo, Emily</creator><creator>Acker, Antoine</creator><creator>Barbachan Mansur, Nacime Salomão</creator><creator>de Cesar Netto, Cesar</creator><general>SAGE Publications</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/0000-0003-0773-7286</orcidid><orcidid>https://orcid.org/0000-0003-2237-3521</orcidid><orcidid>https://orcid.org/0000-0003-1082-6490</orcidid><orcidid>https://orcid.org/0000-0003-1067-727X</orcidid><orcidid>https://orcid.org/0000-0002-3905-9662</orcidid><orcidid>https://orcid.org/0000-0001-6037-0685</orcidid></search><sort><creationdate>202412</creationdate><title>Progressive First Metatarsal Shortening Is Observed Following Dermal Allograft Interpositional Arthroplasty in Hallux Rigidus: Short Report</title><author>Fayed, Aly Maher ; Jones, Matthew ; Carvalho, Kepler Alencar Mendes de ; Luo, Emily ; Acker, Antoine ; Barbachan Mansur, Nacime Salomão ; de Cesar Netto, Cesar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c222t-24c45b539bb7e65f08d4ddd5b4869b28859b26fa519b24b0600bb93f16225eff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Acellular Dermis</topic><topic>Aged</topic><topic>Allografts</topic><topic>Arthroplasty - methods</topic><topic>Female</topic><topic>Hallux Rigidus - diagnostic imaging</topic><topic>Hallux Rigidus - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Metatarsal Bones - diagnostic imaging</topic><topic>Metatarsal Bones - surgery</topic><topic>Metatarsophalangeal Joint - surgery</topic><topic>Middle Aged</topic><topic>Pilot Projects</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fayed, Aly Maher</creatorcontrib><creatorcontrib>Jones, Matthew</creatorcontrib><creatorcontrib>Carvalho, Kepler Alencar Mendes de</creatorcontrib><creatorcontrib>Luo, Emily</creatorcontrib><creatorcontrib>Acker, Antoine</creatorcontrib><creatorcontrib>Barbachan Mansur, Nacime Salomão</creatorcontrib><creatorcontrib>de Cesar Netto, Cesar</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>Foot & ankle international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fayed, Aly Maher</au><au>Jones, Matthew</au><au>Carvalho, Kepler Alencar Mendes de</au><au>Luo, Emily</au><au>Acker, Antoine</au><au>Barbachan Mansur, Nacime Salomão</au><au>de Cesar Netto, Cesar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Progressive First Metatarsal Shortening Is Observed Following Dermal Allograft Interpositional Arthroplasty in Hallux Rigidus: Short Report</atitle><jtitle>Foot & ankle international</jtitle><addtitle>Foot Ankle Int</addtitle><date>2024-12</date><risdate>2024</risdate><volume>45</volume><issue>12</issue><spage>1359</spage><epage>1363</epage><pages>1359-1363</pages><issn>1071-1007</issn><issn>1944-7876</issn><eissn>1944-7876</eissn><abstract>Background:
The main goal of this study was to evaluate postoperative changes in the length of the first metatarsal (M1) and the proximal phalanx of the hallux (P1) after acellular dermal allograft interpositional arthroplasty (ADA-IPA). We hypothesized that there would be a shortening of the first ray at the first metatarsal, the proximal phalanx, or both.
Methods:
In this retrospective study, we assessed patients who underwent ADA-IPA between 2019 and 2022. On standing anteroposterior (AP) foot radiographs, we measured first metatarsal (M1), second metatarsal (M2), proximal phalanx (P1), and the entire hallux (HX) lengths. M1/M2 and P1/HX ratios were calculated. The first metatarsophalangeal joint space was calculated. All measurements were recorded preoperatively, at 6 weeks postoperatively, and at final follow-up.
Results:
The pilot study included 11 patients. At final follow-up, we found shortening of M1 and P1 in comparison to the preoperative length, as evidenced by lower M1/M2 (82.6 ± 2.3 vs 75.4 ± 5.1; P = .001) and P1/HX ratios (53.4 ± 2.3 vs 48.9 ± 7.9; P = .001). Follow-up length was negatively correlated with M1/M2 (r = −0.76, P = .003).
Conclusion:
ADA-IPA might be associated with shortening of both first metatarsal and proximal phalanx, with the former showing progressive shortening.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>39387460</pmid><doi>10.1177/10711007241281729</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0003-0773-7286</orcidid><orcidid>https://orcid.org/0000-0003-2237-3521</orcidid><orcidid>https://orcid.org/0000-0003-1082-6490</orcidid><orcidid>https://orcid.org/0000-0003-1067-727X</orcidid><orcidid>https://orcid.org/0000-0002-3905-9662</orcidid><orcidid>https://orcid.org/0000-0001-6037-0685</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1071-1007 |
| ispartof | Foot & ankle international, 2024-12, Vol.45 (12), p.1359-1363 |
| issn | 1071-1007 1944-7876 1944-7876 |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Acellular Dermis Aged Allografts Arthroplasty - methods Female Hallux Rigidus - diagnostic imaging Hallux Rigidus - surgery Humans Male Metatarsal Bones - diagnostic imaging Metatarsal Bones - surgery Metatarsophalangeal Joint - surgery Middle Aged Pilot Projects Radiography Retrospective Studies |
| title | Progressive First Metatarsal Shortening Is Observed Following Dermal Allograft Interpositional Arthroplasty in Hallux Rigidus: Short Report |
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