Open AccessMetatarsophalangeal arthrodesis of the hallux using a minimally invasive technique
Author(s) -
Luiz Carlos Ribeiro Lara,
Lúcio Carlos de Azevedo Torres Filho,
Gabriel Lopes de Faria Cervone,
Juan Antônio Grajales,
Glaucia Bordig,
Lara Furtado Lancia,
Diego Vitor Braga Santos,
Igor Marijusckin,
Douglas Rocha Russo
Publication year - 2021
Publication title -
jornal of the foot and ankle
Language(s) - English
Resource type - Journals
ISSN - 2675-2980
DOI - 10.30795/jfootankle.2021.v15.1565
Subject(s) - medicine , hallux rigidus , forefoot , arthrodesis , surgery , visual analogue scale , ankle , percutaneous , nonunion , metatarsalgia , complication , alternative medicine , pathology
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.