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J. Funct. Morphol. Kinesiol. 2016, 1(1), 102-108; doi:10.3390/jfmk1010102

Arthrodesis and Hemiarthroplasty: Different Techniques in the Treatment of Hallux Rigidus—Surgery and Postoperative Rehabilitation

1
Division of Ortopaedic Surgery and Traumatology, University of Catania,Ospedale Vittorio Emanuele, 628 Via Plebiscito, 95154 Catania, Italy
2
Department of Orthopaedics and Trauma Surgery, Magna graecia University, “Mater Domini” University Hospital, Viale Europa, 88100 Catanzaro, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Giuseppe Musumeci
Received: 15 January 2016 / Revised: 8 February 2016 / Accepted: 18 February 2016 / Published: 25 February 2016
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Abstract

Hallux rigidus (HR) is a progressive degenerative pathology affecting the first metatarsophalangeal joint. The aim of the present study is to report our experience on the treatment of HR patients with two different surgical methods: arthrodesis and hemiarthroplasty. Twelve patients (14 HR) underwent surgery for HR from July 2004 to October 2009. Median age was 58 years (Interquartile Range (IQR) 52.75–65.0). At time of surgery, patients had different grades of HR, according to the Regnauld modified classification. The outcome was assessed using the American Orthopedic Foot and Ankle Society (AOFAS) Hallux Metatarsophalangeal-Interphalangeal (HMI) scale. Controls were performed at one month and then at mid-term follow-up (median 48 months; IQR 29.3–58.0). In the arthrodesis group (n = 6 HR) we observed a median improvement of 35.5 points (IQR 34.75–36.0; p = 0.036) at the early follow-up. In the hemiarthroplasty (n = 8 HR) group the median of differences at the one-month follow-up was 33 (IQR 30.5–33.0; p = 0.022). At mid-term follow-up the arthrodesis group showed the median difference score of 35 (IQR 33.0–35.25) in comparison with the hemiarthroplasty group which showed a median score of 30.5 (IQR 28.0–32.5). Our results are consistent with the current understanding of two surgical techniques for the treatment of HR: nowadays, arthrodesis is considered the treatment of choice in grade III and IV. Hemiarthroplasty seems to be a promising option. Management of pain and joint flexibility are fundamental to prevent relapses and restore the Range Of Motion (ROM) in dorsal flexion. This article is a retrospective case series with a level of evidence 4. View Full-Text
Keywords: arthrodesis; hallux rigidus; hemiarthroplasty; first metatarsophalangeal joint arthrodesis; hallux rigidus; hemiarthroplasty; first metatarsophalangeal joint
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Cannavò, L.; Costarella, L.; Pavone, V.; Testa, G.; De Gori, M.; Sessa, G. Arthrodesis and Hemiarthroplasty: Different Techniques in the Treatment of Hallux Rigidus—Surgery and Postoperative Rehabilitation. J. Funct. Morphol. Kinesiol. 2016, 1, 102-108.

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