Metatarsophalangeal arthrodesis of the hallux using a minimally invasive technique

Authors

  • Luiz Carlos Ribeiro Lara Hospital Universitário de Taubaté, Taubaté, SP, Brazil https://orcid.org/0000-0003-1158-2643
  • Lúcio Carlos de Azevedo Torres Filho Hospital Universitário de Taubaté, Taubaté, SP, Brazil https://orcid.org/0000-0002-0778-2506
  • Gabriel Lopes de Faria Cervone Hospital Universitário de Taubaté, Taubaté, SP, Brazil https://orcid.org/0000-0001-5470-8379
  • Juan Antonio Grajales Hospital Universitário de Taubaté, Taubaté, SP, Brazil
  • Glaucia Bordignon Hospital Universitário de Taubaté, Taubaté, SP, Brazil https://orcid.org/0000-0001-5273-4303
  • Lara Furtado Lancia Hospital Universitário de Taubaté, Taubaté, SP, Brazil https://orcid.org/0000-0003-1048-7134
  • Diego Vitor Braga Santos Hospital Universitário de Taubaté, Taubaté, SP, Brazil
  • Igor Marijusckin Instituto São Gabriel de Fraturas, Santos, SP, Brazil https://orcid.org/0000-0002-1733-3747
  • Douglas Rocha Russo Hospital Universitário de Taubaté, Taubaté, SP, Brazil

DOI:

https://doi.org/10.30795/jfootankle.2021.v15.1565

Keywords:

Arthrodesis, Metatarsophalangeal joint, Hallux rigidus, Minimally invasive surgical procedures

Abstract

Objective: To evaluate the outcomes of the metatarsophalangeal arthrodesis (MTPA) of the hallux using a percutaneous technique. Methods: The MTPA of the hallux was performed in a total of 27 feet: 20 patients diagnosed with hallux rigidus and 7 with rheumatoid arthritis. The mean postoperative follow-up time was 30.7 months. The results were evaluated using the visual analogue scale (VAS) for pain, the American Orthopaedic Foot & Ankle Society (AOFAS) forefoot score, and regards to union rate. Results: All 27 patients were operated percutaneously and noticed relief of the pain, with a mean increase of 50.9 points in AOFAS scores and a mean decrease of 7.4 points in the VAS. The mean union time was 10 weeks. There were no cases of nonunion. Conclusion: Percutaneous first MTP arthrodesis proved effective for treating hallux rigidus and degenerative rheumatic pathologies. Level of Evidence IV; Therapeutic Studies; Cases Series.

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Published

2021-12-20

How to Cite

Lara, L. C. R., Torres Filho, L. C. de A. ., Cervone, G. L. de F. ., Grajales, J. A., Bordignon, G. ., Lancia, L. F., … Russo , D. R. . (2021). Metatarsophalangeal arthrodesis of the hallux using a minimally invasive technique. Journal of the Foot & Ankle, 15(3), 208–212. https://doi.org/10.30795/jfootankle.2021.v15.1565