The purpose of this study is to examine the long-term outcomes for the surgical treatment of end stage degeneration in the big toe joint.
Hallux rigidus is a degenerative process that occurs in the first metatarsophalangeal joint (MTPJ). There are a variety of surgical treatment options available for its treatment including joint sparing and joint destructive procedures. Patients with end stage arthritis are often given several surgical options for the treatment of the first MTPJ. The procedures are correlated to the patient's age, type of shoe gear, activity level, Body Mass Index, degree of arthritis, desire for joint mobility and bone density. This proposal outlines a retrospective study on the long-term efficacy of joint resection, joint fusion, and hemi-metallic first MTPJ implants. A multi-center study of 300 subjects who received surgical repair for end stage arthritis of the first MTPJ will be evaluated. Subjective assessment for pain, function and alignment as well as objective radiographic evaluation will be performed. Further, the frequency and types of adverse events associated with the three surgical techniques will be assessed. The results of this study will provide valuable information to foot and ankle surgeons in making appropriate decisions regarding the treatment options for end stage hallux rigidus.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
158
These subjects had received a surgical intervention of removing the proximal portion of the proximal phalanx of the hallux
Those who had a surgical intervention of fusion of the 1st metatarsal phalangeal joint.
Those who had a surgical procedure of a hemi-metallic joint implant
Foot & Ankle Center of Northern Colorado
Greeley, Colorado, United States
Capitol Orthopaedics & SPorts Medicine
Des Moines, Iowa, United States
Scituate Podiatry Group
Scituate, Massachusetts, United States
Michigan Foot & Ankle Center
Southfield, Michigan, United States
Subjective: pain, function, alignment
Time frame: At least 1 year after surgical intervention
Frequency and types of undesired effects
Time frame: At least 1 year after surgical intervention
Demographic data and trends
Time frame: At least 1 year after surgical intervention
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Ankle and Foot Care Centers
Youngstown, Ohio, United States
Marc Kravettte
Seattle, Washington, United States