Fusion of the first metatarsophalangeal joint in forefoot arthroplasty
Forefoot arthroplasty is often recommended for the management of metatarsalgia secondary to rheumatoid arthritis. Concurrently, the first metatarsophalangeal (MP) joint can be fused rather than excised. The results in 37 patients with 64 arthroplasty operations (34 with fusion and 30 with excision o...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1984-11, Vol.190 (190), p.249-253 |
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| container_title | Clinical orthopaedics and related research |
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| creator | BEAUCHAMP, C. G KIRBY, T RUDGE, S. R WORTHINGTON, B. S NELSON, J |
| description | Forefoot arthroplasty is often recommended for the management of metatarsalgia secondary to rheumatoid arthritis. Concurrently, the first metatarsophalangeal (MP) joint can be fused rather than excised. The results in 37 patients with 64 arthroplasty operations (34 with fusion and 30 with excision of the first joint) show that fusion produced a better cosmetic appearance of the foot, facilitated fitting with normal shoes, and improved overall balance. Pedobarograph measurements during gait indicated that relatively more weight was transmitted through the medial ray when the first metatarsophalangeal joint was fused. Residual pain in the foot was often caused by irregular trimming of the metatarsals. There was no difference in relief of pain between fused and unfused patients. Failure of fusion at the first metatarsophalangeal joint generally was painless. Radiologic degeneration of the interphalangeal (IP) joint of the great toe was relatively common following fusion. MP joint fusion is inadvisable if there is already disease in the IP joint. |
| doi_str_mv | 10.1097/00003086-198411000-00043 |
| format | Article |
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G ; KIRBY, T ; RUDGE, S. R ; WORTHINGTON, B. S ; NELSON, J</creator><creatorcontrib>BEAUCHAMP, C. G ; KIRBY, T ; RUDGE, S. R ; WORTHINGTON, B. S ; NELSON, J</creatorcontrib><description>Forefoot arthroplasty is often recommended for the management of metatarsalgia secondary to rheumatoid arthritis. Concurrently, the first metatarsophalangeal (MP) joint can be fused rather than excised. The results in 37 patients with 64 arthroplasty operations (34 with fusion and 30 with excision of the first joint) show that fusion produced a better cosmetic appearance of the foot, facilitated fitting with normal shoes, and improved overall balance. Pedobarograph measurements during gait indicated that relatively more weight was transmitted through the medial ray when the first metatarsophalangeal joint was fused. Residual pain in the foot was often caused by irregular trimming of the metatarsals. There was no difference in relief of pain between fused and unfused patients. Failure of fusion at the first metatarsophalangeal joint generally was painless. Radiologic degeneration of the interphalangeal (IP) joint of the great toe was relatively common following fusion. MP joint fusion is inadvisable if there is already disease in the IP joint.</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1097/00003086-198411000-00043</identifier><identifier>PMID: 6488639</identifier><identifier>CODEN: CORTBR</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; Arthritis, Rheumatoid - surgery ; Arthrodesis - methods ; Arthroplasty - methods ; Biological and medical sciences ; Bone Screws ; Female ; Humans ; Male ; Medical sciences ; Metatarsophalangeal Joint - diagnostic imaging ; Metatarsophalangeal Joint - surgery ; Middle Aged ; Orthopedic surgery ; Pain, Postoperative - etiology ; Postoperative Complications ; Radiography ; Surgery (general aspects). 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G</creatorcontrib><creatorcontrib>KIRBY, T</creatorcontrib><creatorcontrib>RUDGE, S. R</creatorcontrib><creatorcontrib>WORTHINGTON, B. S</creatorcontrib><creatorcontrib>NELSON, J</creatorcontrib><title>Fusion of the first metatarsophalangeal joint in forefoot arthroplasty</title><title>Clinical orthopaedics and related research</title><addtitle>Clin Orthop Relat Res</addtitle><description>Forefoot arthroplasty is often recommended for the management of metatarsalgia secondary to rheumatoid arthritis. Concurrently, the first metatarsophalangeal (MP) joint can be fused rather than excised. The results in 37 patients with 64 arthroplasty operations (34 with fusion and 30 with excision of the first joint) show that fusion produced a better cosmetic appearance of the foot, facilitated fitting with normal shoes, and improved overall balance. Pedobarograph measurements during gait indicated that relatively more weight was transmitted through the medial ray when the first metatarsophalangeal joint was fused. Residual pain in the foot was often caused by irregular trimming of the metatarsals. There was no difference in relief of pain between fused and unfused patients. Failure of fusion at the first metatarsophalangeal joint generally was painless. Radiologic degeneration of the interphalangeal (IP) joint of the great toe was relatively common following fusion. MP joint fusion is inadvisable if there is already disease in the IP joint.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>Arthrodesis - methods</subject><subject>Arthroplasty - methods</subject><subject>Biological and medical sciences</subject><subject>Bone Screws</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metatarsophalangeal Joint - diagnostic imaging</subject><subject>Metatarsophalangeal Joint - surgery</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Pain, Postoperative - etiology</subject><subject>Postoperative Complications</subject><subject>Radiography</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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S ; NELSON, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-140aa7f9dadaf175f13402915614d9c57b11a50e4dd2e2191a5361046f6306c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>Arthrodesis - methods</topic><topic>Arthroplasty - methods</topic><topic>Biological and medical sciences</topic><topic>Bone Screws</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metatarsophalangeal Joint - diagnostic imaging</topic><topic>Metatarsophalangeal Joint - surgery</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Pain, Postoperative - etiology</topic><topic>Postoperative Complications</topic><topic>Radiography</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Toe Joint - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BEAUCHAMP, C. G</creatorcontrib><creatorcontrib>KIRBY, T</creatorcontrib><creatorcontrib>RUDGE, S. R</creatorcontrib><creatorcontrib>WORTHINGTON, B. S</creatorcontrib><creatorcontrib>NELSON, J</creatorcontrib><collection>Pascal-Francis</collection><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>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BEAUCHAMP, C. G</au><au>KIRBY, T</au><au>RUDGE, S. R</au><au>WORTHINGTON, B. S</au><au>NELSON, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fusion of the first metatarsophalangeal joint in forefoot arthroplasty</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1984-11</date><risdate>1984</risdate><volume>190</volume><issue>190</issue><spage>249</spage><epage>253</epage><pages>249-253</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>Forefoot arthroplasty is often recommended for the management of metatarsalgia secondary to rheumatoid arthritis. Concurrently, the first metatarsophalangeal (MP) joint can be fused rather than excised. The results in 37 patients with 64 arthroplasty operations (34 with fusion and 30 with excision of the first joint) show that fusion produced a better cosmetic appearance of the foot, facilitated fitting with normal shoes, and improved overall balance. Pedobarograph measurements during gait indicated that relatively more weight was transmitted through the medial ray when the first metatarsophalangeal joint was fused. Residual pain in the foot was often caused by irregular trimming of the metatarsals. There was no difference in relief of pain between fused and unfused patients. Failure of fusion at the first metatarsophalangeal joint generally was painless. Radiologic degeneration of the interphalangeal (IP) joint of the great toe was relatively common following fusion. MP joint fusion is inadvisable if there is already disease in the IP joint.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>6488639</pmid><doi>10.1097/00003086-198411000-00043</doi><tpages>5</tpages></addata></record> |
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| ispartof | Clinical orthopaedics and related research, 1984-11, Vol.190 (190), p.249-253 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Arthritis, Rheumatoid - surgery Arthrodesis - methods Arthroplasty - methods Biological and medical sciences Bone Screws Female Humans Male Medical sciences Metatarsophalangeal Joint - diagnostic imaging Metatarsophalangeal Joint - surgery Middle Aged Orthopedic surgery Pain, Postoperative - etiology Postoperative Complications Radiography Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Toe Joint - surgery |
| title | Fusion of the first metatarsophalangeal joint in forefoot arthroplasty |
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