Evidence map›Paper›PMID 41085573›Full record

SynthesisArchives of orthopaedic and trauma surgery2025

Return to sport after arthrodesis and implant arthroplasty for hallux rigidus : a systematic review.

Thomas Stumpner, Stephan Obermayr, George Abdel-Nour, Simon Recheis, Michael Stephan Gruber, Reinhold Ortmaier

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Thomas StumpnerDepartment of Orthopaedic Surgery, Ordensklinikum Linz Barmherzige Schwestern Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, Seilerstätte 4, 4020, Linz, Austria.ORCID http://orcid.org/0000-0001-6883-9185
Stephan ObermayrDepartment of Orthopaedic Surgery, Ordensklinikum Linz Barmherzige Schwestern Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, Seilerstätte 4, 4020, Linz, Austria. stephan.obermayr@ordensklinikum.at.ORCID http://orcid.org/0009-0001-6508-6795
George Abdel-NourOrthopaedic Hospital Speising, Speisingerstrasse 109, A-1130, Vienna, Austria.
Simon RecheisDepartment of Orthopaedic Surgery, Ordensklinikum Linz Barmherzige Schwestern Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, Seilerstätte 4, 4020, Linz, Austria.ORCID http://orcid.org/0000-0002-1696-4280
Michael Stephan GruberDepartment of Orthopaedic Surgery, Ordensklinikum Linz Barmherzige Schwestern Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, Seilerstätte 4, 4020, Linz, Austria.ORCID http://orcid.org/0000-0003-0697-161X
Reinhold OrtmaierDepartment of Orthopaedic Surgery, Ordensklinikum Linz Barmherzige Schwestern Vinzenzgruppe Center of Orthopedic Excellence, Teaching Hospital of the Paracelsus Medical University Salzburg, Seilerstätte 4, 4020, Linz, Austria.ORCID http://orcid.org/0000-0002-6684-2513

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPainful, degenerative stiffening of the first metatarsophalangeal (MTP-1) joint, as seen in hallux rigidus, is common among athletic individuals due to repetitive microtrauma. While arthrodesis of the MTP-1 joint is considered the gold standard for advanced degeneration, the resulting loss of motion may impair sports and recreational activities. Implant arthroplasty, by preserving joint mobility, may offer functional benefits for active patients.

methodsIn accordance with PRISMA guidelines, a comprehensive literature search was conducted using PubMed, LIVIVO, the Cochrane Controlled Trials Library, Science Direct, CINHAL and Scopus. Studies reporting on sports function after MTP-1 arthrodesis or implant arthroplasty for degenerative arthritis were included. Fifteen studies with 1,103 procedures met the inclusion criteria. Sport-specific outcomes and functional scores were extracted and analyzed.

resultsData on sports function following MTP-1 arthrodesis and implant arthroplasty are heterogeneous, limiting direct comparison. Arthrodesis studies reported return-to-sport rates of up to 100%, with a shift from high-impact to in-line activities. Implant arthroplasty showed similar return-to-sport rates, with potential short-term functional benefits. However, long-term superiority could not be demonstrated, and higher complication rates must be considered.

conclusionMTP-1 arthrodesis remains a reliable treatment for end-stage hallux rigidus, offering satisfactory long-term sports function. Implant arthroplasty may provide short-term advantages in active patients but carries a higher risk of complications and has not shown superior long-term outcomes in sports participation.

Indexed as

ArthrodesisArthroplastyArthroplasty, ReplacementHallux RigidusReturn to SportHumansMetatarsophalangeal JointActivityArthrodesisArthroplastyFirst metatarsophalangealHallux rigidusImplantReturn to sports

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.