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., Santos, D. V. B. ., Marijusckin , I. ., & 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