ArticleInternational orthopaedics2021
Clinical and radiological outcomes after arthrodesis of the first metatarsophalangeal joint.
Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Effectiveness of synthetic versus autologous bone grafts in foot and ankle surgery: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Robotic assisted Total Knee Arthroplasty (TKA) is not associated with increased patient satisfaction: a systematic review and meta-analysis.International orthopaedics · 2024Pooled it
- Primary vs Revision and Salvage First Metatarsophalangeal Joint Arthrodesis: A National Database Study of Utilization, Complications, and Cost Analysis.Foot & ankle orthopaedics · 2026Article
- Shortening, Percutaneous, Intra-articular, Chevron Osteotomy for the Treatment of Hallux Rigidus: An Anatomical Feasibility and Risk Assessment in Cadavers.Foot & ankle orthopaedics · 2026Article
- [First metatarsophalangeal joint arthrodesis for severe hallux valgus deformity].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- The Outcome of the Use of Continuous Action Compression Device for the First Metatarsophalangeal Joint Fusion.Cureus · 2024Article
- Primary Isolated Arthrodesis of the First Metatarsophalangeal Joint for Hallux Rigidus: Clinical, Radiologic, and Pedobarographic Evaluation.Foot & ankle orthopaedics · 2024Article
- Effects of whole-body vibration on chronic ankle instability: a systematic review.Annals of medicine and surgery (2012) · 2024Review
- Review
- Effect of Prior Cheilectomy on Outcomes of First Metatarsophalangeal Joint Fusion for Treatment of Hallux Rigidus.Foot & ankle orthopaedics · 2022Article
- [Cartilage chip transplantation for cartilage defects of the first metatarsophalangeal joint].Operative Orthopadie und Traumatologie · 2021Article
- Arthroscopic Arthrodesis of the First Metatarsophalangeal Joint in Hallux Varus.Arthroscopy techniques · 2021Article
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3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe main aim of this study was to investigate the correlation between radiographic findings and clinical outcomes following the first metatarsophalangeal (MTP) joint arthrodesis.
methodsIn a comparative retrospective study, on 46 patients (48 ft), the correlation between post-operative radiographic findings including hallux valgus angle (HVA) and first MTP dorsiflexion angle (MTPDA) and clinical outcomes including VAS pain, modified AOFAS hallux score, and FFI questionnaire were evaluated. Moreover, clinical outcomes were compared between cases with pre-operative diagnosis of first MTP inflammatory arthritis, hallux valgus, hallux varus, and grade 3 and 4 of hallux rigidus. The effect of first MTP arthrodesis on Meary's angle and intermetatarsal angle (IMA) were found out.
resultsThe mean age of the patients was 56.3 ± 9.1 (range, 29-69) years, including 42 (91.3%) females and 4 (8.7%) males. We had fusion rate of 97.9%, one asymptomatic nonunion case (2.1%). Totally, mean scores of modified AOFAS hallux score, FFI percentage, and VAS pain were 88.9 ± 12.6, 9.4 ± 16.5, and 1.23 ± 2.24, respectively. Hallux varus was associated with the most favourable outcomes; whereas, patients with first MTP arthritis got the worst outcome. Regression analysis test between clinical outcomes and HVA > 15° and first MTPDA >15° showed correlation coefficient of almost zero. No statistically significant differences were found between the clinical outcomes of grade 3 and 4 of hallux rigidus (p value of modified AOFAS hallux score, FFI percentage, and VAS pain: 0.879, 0.906, and 0.298, respectively). Mean of HVA and IMA reduction in 15 hallux valgus underwent first MTP fusion were 34.4° and 8.4°, respectively. Meary's angle increased about 4° with statistically significant difference (p value 0.001).
conclusionPatients with first MTP fusion > 15° in coronal and transverse plans could have acceptable clinical outcomes. The clinical outcome of first MTP arthrodesis for grade 3 hallux rigidus is comparable with grade 4. First MTP fusion would have positive effect on IMA and Meary's angle.
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