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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Migues, Atilio Calvi, Juan Sotelano, Pablo Carrasco, Marina Slullitel, Gastón Conti, Leonardo |
| Description | Country affiliation: Argentina Author Affiliation: Migues A ( Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.) |
| Abstract | BACKGROUND: The purpose of this study was to evaluate the clinical and radiological results in a group of patients who underwent first metatarsophalangeal joint arthrodesis with an endomedullary screw fixation technique (MPA-E). METHODS: Between 2003 and 2009, 101 metatarsophalangeal arthrodesis were performed in 76 patients. There were 64 women and 12 men with an average age of 68 years. The indication for surgery was osteoarthritis with severe pain and functional limitation. Patients were evaluated radiologically and with the American Orthopaedic Foot & Ankle Society scoring system (AOFAS) at an average follow-up of 32 months (range, 24-92 months). RESULTS: The success rate was 93%, with an increase of the average preoperative AOFAS from 38.5 points to 85.5 points postoperatively (P < .0001). The consolidation rate after radiological evaluation was 90.1%; there were 5 cases (5.0%) with asymptomatic nonunion and 5 cases (5.0%) with poor results because of symptomatic nonunion. Screw removal was needed in 4 feet (4.0%), and 2 feet (2.0%) had acute postoperative superficial infection. No implant cutout was observed. CONCLUSION: The MPA-E technique provided consistent and high functional outcomes. This valid and effective alternative should be considered as an option for hallux metatarsophalangeal arthrodesis. LEVEL OF EVIDENCE: Level IV, retrospective case series. |
| File Format | HTM / HTML |
| ISSN | 10711007 |
| Issue Number | 8 |
| Volume Number | 34 |
| e-ISSN | 19447876 |
| Journal | Foot & Ankle International |
| Language | English |
| Publisher | Sage Publication |
| Publisher Date | 2013-08-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Orthopedics Arthrodesis Methods Bone Screws Hallux Surgery Metatarsophalangeal Joint Aged Cohort Studies Female Hallux Rigidus Hallux Valgus Humans Male Osteoarthritis Postoperative Complications Radiography Retrospective Studies Treatment Outcome Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
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