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Year 2024, Volume: 7 Issue: 1, 27 - 31, 11.03.2024

Mehmet Yiğit Gökmen , Mesut Uluöz

https://doi.org/10.36516/jocass.1408096

Abstract

References

  • 1.McMaster M. The pathogenesis of hallux rigidus. The Journal of Bone and Joint Surgery British volume. 1978; 60(1): 82–7. https://doi.org/10.1302/0301-620X.60B1.627584
  • 2.Deland JT, Williams BR. Surgical Management of Hallux Rigidus: Journal of the American Academy of Orthopaedic Surgeons. 2012; 20(6): 347–58. https://doi.org/10.5435/JAAOS-20-06-347
  • 3.Cotterill JM. Stiffness of the Great Toe in Adolescents. BMJ. 1887; 1(1378): 1158–1158. https://doi.org/10.1136/bmj.1.1378.1158
  • 4.Coughlin MJ, Shurnas PS. Hallux rigidus. Grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003; 85(11): 2072–88.
  • 5.Shereff MJ, Baumhauer JF. Current Concepts Review - Hallux Rigidus and Osteoarthrosis of the First Metatarsophalangeal Joint*: The Journal of Bone & Joint Surgery. 1998; 80(6):898–908. https://doi.org/10.2106/00004623-199806000-00015
  • 6.Polzer H. Hallux rigidus: Joint preserving alternatives to arthrodesis - a review of the literature. WJO. 2014; 5(1): 6. https://doi.org/10.5312/wjo.v5.i1.6
  • 7.Hattrup SJ, Johnson KA. Subjective results of hallux rigidus following treatment with cheilectomy. Clin Orthop Relat Res. 1988; (226): 182–91.
  • 8.Sidon E, Rogero R, Bell T, McDonald E, Shakked RJ, Fuchs D, et al. Long-term Follow-up of Cheilectomy for Treatment of Hallux Rigidus. Foot Ankle Int. 2019; 40(10): 1114–21. https://doi.org/10.1177/1071100719859236
  • 9.Cho BK, Park KJ, Park JK, SooHoo NF. Outcomes of the Distal Metatarsal Dorsiflexion Osteotomy for Advanced Hallux Rigidus. Foot Ankle Int. 2017; 38(5): 541–50. https://doi.org/10.1177/1071100716688177
  • 10.Maes DJA, De Vil J, Kalmar AF, Lootens T. Clinical and Radiological Out-comes of Hallux Rigidus Treated With Cheilectomy and a Moberg-Akin Osteotomy. Foot Ankle Int. 2020; 41(3): 294–302. https://doi.org/10.1177/1071100719897264
  • 11.Kilmartin TE. Phalangeal osteotomy versus first metatarsal decom-pression osteotomy for the surgical treatment of hallux rigidus: a pro-spective study of age-matched and condition-matched patients. J Foot Ankle Surg. 2005; 44(1): 2–12. https://doi.org/10.1053/j.jfas.2004.11.013
  • 12.Lundeen RO, Rose JM. Sliding oblique osteotomy for the treatment of hallux abducto valgus associated with functional hallux limitus. J Foot Ankle Surg. 2000; 39(3): 161–7. https://doi.org/10.1016/s1067-2516(00)80017-4
  • 13.Ronconi P, Monachino P, Baleanu PM, Favilli G. Distal oblique osteoto-my of the first metatarsal for the correction of hallux limitus and rigidus deformity. J Foot Ankle Surg. 2000; 39(3): 154–60. https://doi.org/10.1016/s1067-2516(00)80016-2
  • 14.Galois L, Hemmer J, Ray V, Sirveaux F. Surgical options for hallux rigi-dus: state of the art and review of the literature. Eur J Orthop Surg Trau-matol. 2020; 30(1): 57–65. https://doi.org/10.1007/s00590-019-02528-x
  • 15.Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and less-er toes. Foot Ankle Int. 1994; 15(7): 349–53. https://doi.org/10.1177/107110079401500701
  • 16.Martin RL, Irrgang JJ, Burdett RG, Conti SF, Van Swearingen JM. Evi-dence of validity for the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int. 2005; 26(11): 968–83. https://doi.org/10.1177/107110070502601113
  • 17.McNeil DS, Baumhauer JF, Glazebrook MA. Evidence-based analysis of the efficacy for operative treatment of hallux rigidus. Foot Ankle Int. 2013; 34(1): 15–32. https://doi.org/10.1177/1071100712460220
  • 18.Malerba F, Milani R, Sartorelli E, Haddo O. Distal oblique first metatarsal osteotomy in grade 3 hallux rigidus: a long-term followup. Foot Ankle Int. 2008; 29(7): 677–82. https://doi.org/10.3113/FAI.2008.0677
  • 19.Haddad SL. The use of osteotomies in the treatment of hallux limitus and hallux rigidus. Foot Ankle Clin. 2000; 5(3): 629–61.
  • 20.Roukis TS. Clinical outcomes after isolated periarticular osteotomies of the first metatarsal for hallux rigidus: a systematic review. J Foot Ankle Surg. 2010; 49(6): 553–60. https://doi.org/10.1053/j.jfas.2010.08.014
  • 21.Waizy H, Czardybon MA, Stukenborg-Colsman C, Wingenfeld C, Well-mann M, Windhagen H, et al. Mid- and long-term results of the joint pre-serving therapy of hallux rigidus. Arch Orthop Trauma Surg. 2010; 130(2): 165–70. https://doi.org/10.1007/s00402-009-0857-1
  • 22.Canseco K, Long J, Marks R, Khazzam M, Harris G. Quantitative motion analysis in patients with hallux rigidus before and after cheilectomy. J Orthop Res. 2009; 27(1): 128–34. https://doi.org/10.1002/jor.20711
  • 23.Coughlin MJ, Shurnas PS. Hallux Rigidus: Surgical Techniques (Cheilec-tomy and Arthrodesis). The Journal of Bone & Joint Surgery. 2004; 86: 119–30. https://doi.org/10.2106/00004623-200409001-00003

Treatment of Grade 3 Halluks Rigidus Cases: Distal Metatarsal Dorsiflexion Osteotomy Combined with Cheilectomy Short-Term Period Radiological and Clinical Outcomes

Year 2024, Volume: 7 Issue: 1, 27 - 31, 11.03.2024

Mehmet Yiğit Gökmen , Mesut Uluöz

https://doi.org/10.36516/jocass.1408096

Abstract

Özet
Giriş: Çalışmanın amacı, evre 3 halluks rigidus olgularında eklemi korumak için kullanılan bir teknik olan distal metatarsal dorsifleksiyon osteotomisi yönteminin kısa dönem radyolojik ve klinik sonuçlarını analiz etmektir.
Gereç ve Yöntemler: Retrospektif çalışma Ocak 2018-Ocak 2023 tarihleri arasında Adana Şehir Eğitim ve Araştırma Hastanesi'nde gerçekleştirildi. Çalışmaya en az altı aylık konservatif tedavinin başarısız olduğu ve çeliektomi ile kombine edilmiş distal metatars osteotomi ameliyatı ile tedavi edilen halluks rigidus evre 3 yetişkin olgular dahil edildi. Yaş, cinsiyet, ameliyat öncesi Coughlin ve Shurnas derecelendirme skorları, Amerikan Ortopedik Ayak ve Ayak Bileği Derneği (AOFAS) Halluks skoru ve Ayak ve Ayak Bileği Yetenek Ölçümü (FAAM) skorları kullanılarak yapılan fonksiyonel klinik değerlendirmeler, ameliyat yöntemi ve komplikasyonlar not edildi.
Sonuç: Çalışma grubunun (n=12) ortalama yaşı 54.2±8.7 idi ve yaşları 44 ile 68 arasında değişmekteydi. Ayak başparmağı hareket açısının son değerlendirmeleri, dorsifleksiyon, plantar fleksiyon ve toplam hareket değerlerinin ameliyat öncesi ölçümlere göre anlamlı olarak arttığını, ancak altıncı ve on ikinci aylar arasında her üç açının da azaldığını gösterdi (p<0.001). Tüm olgular arasında, ortalama AOFAS Halluks ve FAAM Günlük skorları anlamlı olarak iyileşmiştir (p<0.001). Birinci MTP eklemin radyolojik değerlendirme sonuçları, nihai ortalama genişliğin ameliyat öncesi ölçüme kıyasla anlamlı derecede arttığını, ancak altıncı aya kıyasla değerin azaldığını gösterdi (p<0.001).
Tartışma: Evre 3 halluks rijidusun cerrahi tedavisinde, çeliektomi ile kombine edilmiş distal metatars osteotomi, birinci MTP'nin hareket açıklığını artırmakta ve klinik ve radyolojik iyileşme sağlamaktadır. Ancak, 3'ten farklı derecelendirilmiş halluks rijidus hastalarında yapılan çalışmaların sonuçlarına dayanarak distal metatarsal dorsifleksiyon osteotomisi planlamadan önce dikkatli bir değerlendirme yapılması gerekir. Ayrıca, intraoperatif %50 veya daha fazla sağlam kıkırdak oranı bulgusu cerrah için motive edici bir gösterge olarak düşünülmelidir.

Keywords

Hallux Rigidus Distal metatarsal osteotomy First metatarsophalangeal joint Cheilectomy

Ethical Statement

The ethical approval was provided by the Clinical Research Ethics Committee of the Adana City Training and Research Hospital on November 23, 2023, with decision number 2960.

Supporting Institution

The authors received no financial support.

Thanks

None.

References

  • 1.McMaster M. The pathogenesis of hallux rigidus. The Journal of Bone and Joint Surgery British volume. 1978; 60(1): 82–7. https://doi.org/10.1302/0301-620X.60B1.627584
  • 2.Deland JT, Williams BR. Surgical Management of Hallux Rigidus: Journal of the American Academy of Orthopaedic Surgeons. 2012; 20(6): 347–58. https://doi.org/10.5435/JAAOS-20-06-347
  • 3.Cotterill JM. Stiffness of the Great Toe in Adolescents. BMJ. 1887; 1(1378): 1158–1158. https://doi.org/10.1136/bmj.1.1378.1158
  • 4.Coughlin MJ, Shurnas PS. Hallux rigidus. Grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003; 85(11): 2072–88.
  • 5.Shereff MJ, Baumhauer JF. Current Concepts Review - Hallux Rigidus and Osteoarthrosis of the First Metatarsophalangeal Joint*: The Journal of Bone & Joint Surgery. 1998; 80(6):898–908. https://doi.org/10.2106/00004623-199806000-00015
  • 6.Polzer H. Hallux rigidus: Joint preserving alternatives to arthrodesis - a review of the literature. WJO. 2014; 5(1): 6. https://doi.org/10.5312/wjo.v5.i1.6
  • 7.Hattrup SJ, Johnson KA. Subjective results of hallux rigidus following treatment with cheilectomy. Clin Orthop Relat Res. 1988; (226): 182–91.
  • 8.Sidon E, Rogero R, Bell T, McDonald E, Shakked RJ, Fuchs D, et al. Long-term Follow-up of Cheilectomy for Treatment of Hallux Rigidus. Foot Ankle Int. 2019; 40(10): 1114–21. https://doi.org/10.1177/1071100719859236
  • 9.Cho BK, Park KJ, Park JK, SooHoo NF. Outcomes of the Distal Metatarsal Dorsiflexion Osteotomy for Advanced Hallux Rigidus. Foot Ankle Int. 2017; 38(5): 541–50. https://doi.org/10.1177/1071100716688177
  • 10.Maes DJA, De Vil J, Kalmar AF, Lootens T. Clinical and Radiological Out-comes of Hallux Rigidus Treated With Cheilectomy and a Moberg-Akin Osteotomy. Foot Ankle Int. 2020; 41(3): 294–302. https://doi.org/10.1177/1071100719897264
  • 11.Kilmartin TE. Phalangeal osteotomy versus first metatarsal decom-pression osteotomy for the surgical treatment of hallux rigidus: a pro-spective study of age-matched and condition-matched patients. J Foot Ankle Surg. 2005; 44(1): 2–12. https://doi.org/10.1053/j.jfas.2004.11.013
  • 12.Lundeen RO, Rose JM. Sliding oblique osteotomy for the treatment of hallux abducto valgus associated with functional hallux limitus. J Foot Ankle Surg. 2000; 39(3): 161–7. https://doi.org/10.1016/s1067-2516(00)80017-4
  • 13.Ronconi P, Monachino P, Baleanu PM, Favilli G. Distal oblique osteoto-my of the first metatarsal for the correction of hallux limitus and rigidus deformity. J Foot Ankle Surg. 2000; 39(3): 154–60. https://doi.org/10.1016/s1067-2516(00)80016-2
  • 14.Galois L, Hemmer J, Ray V, Sirveaux F. Surgical options for hallux rigi-dus: state of the art and review of the literature. Eur J Orthop Surg Trau-matol. 2020; 30(1): 57–65. https://doi.org/10.1007/s00590-019-02528-x
  • 15.Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and less-er toes. Foot Ankle Int. 1994; 15(7): 349–53. https://doi.org/10.1177/107110079401500701
  • 16.Martin RL, Irrgang JJ, Burdett RG, Conti SF, Van Swearingen JM. Evi-dence of validity for the Foot and Ankle Ability Measure (FAAM). Foot Ankle Int. 2005; 26(11): 968–83. https://doi.org/10.1177/107110070502601113
  • 17.McNeil DS, Baumhauer JF, Glazebrook MA. Evidence-based analysis of the efficacy for operative treatment of hallux rigidus. Foot Ankle Int. 2013; 34(1): 15–32. https://doi.org/10.1177/1071100712460220
  • 18.Malerba F, Milani R, Sartorelli E, Haddo O. Distal oblique first metatarsal osteotomy in grade 3 hallux rigidus: a long-term followup. Foot Ankle Int. 2008; 29(7): 677–82. https://doi.org/10.3113/FAI.2008.0677
  • 19.Haddad SL. The use of osteotomies in the treatment of hallux limitus and hallux rigidus. Foot Ankle Clin. 2000; 5(3): 629–61.
  • 20.Roukis TS. Clinical outcomes after isolated periarticular osteotomies of the first metatarsal for hallux rigidus: a systematic review. J Foot Ankle Surg. 2010; 49(6): 553–60. https://doi.org/10.1053/j.jfas.2010.08.014
  • 21.Waizy H, Czardybon MA, Stukenborg-Colsman C, Wingenfeld C, Well-mann M, Windhagen H, et al. Mid- and long-term results of the joint pre-serving therapy of hallux rigidus. Arch Orthop Trauma Surg. 2010; 130(2): 165–70. https://doi.org/10.1007/s00402-009-0857-1
  • 22.Canseco K, Long J, Marks R, Khazzam M, Harris G. Quantitative motion analysis in patients with hallux rigidus before and after cheilectomy. J Orthop Res. 2009; 27(1): 128–34. https://doi.org/10.1002/jor.20711
  • 23.Coughlin MJ, Shurnas PS. Hallux Rigidus: Surgical Techniques (Cheilec-tomy and Arthrodesis). The Journal of Bone & Joint Surgery. 2004; 86: 119–30. https://doi.org/10.2106/00004623-200409001-00003
There are 23 citations in total.

Details

Primary Language English
Subjects Orthopaedics
Journal Section Articles
Authors

Mehmet Yiğit Gökmen 0000-0003-1243-2057

Mesut Uluöz 0000-0003-0319-3832

Publication Date March 11, 2024
Submission Date December 21, 2023
Acceptance Date January 8, 2024
Published in Issue Year 2024 Volume: 7 Issue: 1

Cite

APA Gökmen, M. Y., & Uluöz, M. (2024). Treatment of Grade 3 Halluks Rigidus Cases: Distal Metatarsal Dorsiflexion Osteotomy Combined with Cheilectomy Short-Term Period Radiological and Clinical Outcomes. Journal of Cukurova Anesthesia and Surgical Sciences, 7(1), 27-31. https://doi.org/10.36516/jocass.1408096
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