Treatment of first metatarsophalangeal joint arthritis using hemiarthroplasty with a synthetic cartilage implant or arthrodesis: A comparison of operative and recovery time

被引：12

作者：

Glazebrook, Mark ^{[1
,2
]}

Younger, Alastair S. E. ^{[3
]}

Daniels, Timothy R. ^{[4
]}

Singh, Dishan ^{[5
]}

Blundell, Chris ^{[6
]}

de Vries, Gwyneth ^{[7
,8
]}

Le, Ian L. D. ^{[9
,10
]}

Nielsen, Dominic ^{[11
]}

Pedersen, M. Elizabeth ^{[12
]}

Sakellariou, Anthony ^{[13
]}

Solan, Matthew ^{[14
]}

Wansbrough, Guy ^{[15
]}

Baumhauer, Judith F. ^{[16
]}

机构：

[1] Dalhousie Univ, Room 4867,1796 Summer St, Halifax, NS B3H 3A7, Canada

[2] Halifax Infirm, Queen Elizabeth II Hlth Sci Ctr, Room 4867,1796 Summer St, Halifax, NS B3H 3A7, Canada

[3] Univ British Columbia, Dept Orthopaed, 560-1144 Burrard St, Vancouver, BC V6Z 2A5, Canada

[4] St Michaels Hosp, Div Orthopaed Surg, 55 Queen St E,Suite 800, Toronto, ON M5C 1R6, Canada

[5] Royal Natl Orthopaed Hosp, Brockley Hill, Stanmore HA7 4LP, Middx, England

[6] Northern Gen Hosp, Herries Rd, Sheffield S7 5AU, S Yorkshire, England

[7] Dalhousie Univ, 440 King St,Suite 405, Fredericton, NB E3B 5H8, Canada

[8] Mem Univ Newfoundland, 440 King St,Suite 405, Fredericton, NB E3B 5H8, Canada

[9] Univ Calgary, 2225 Macleod Trail South, Calgary, AB T2G 5B6, Canada

[10] LifeMark Hlth Ctr, 2225 Macleod Trail South, Calgary, AB T2G 5B6, Canada

[11] St George Hosp, St James Wing,5th Floor,Blackshaw Rd, London SW17 0QT, England

[12] Univ Alberta, Orthoped Res, 8440-112 St,6-110 Clin Sci Bldg, Edmonton, AB T6G 2B7, Canada

[13] Frimley Pk Hosp, Portsmouth Rd, Frimley GU167UJ, Camberley, England

[14] Royal Surrey Cty Hosp, Egerton Rd, Guildford GU27XX, Surrey, England

[15] Torbay Hosp, Torquay TQ27AA, Devon, England

[16] Univ Rochester, Sch Med & Dent, Dept Orthopaed, Rochester, NY USA

来源：

FOOT AND ANKLE SURGERY | 2018年 / 24卷 / 05期

关键词：

Anaesthesia; FAAM; First metatarsophalangeal joint; Hallux rigidus; Operative time; Osteoarthritis; Recovery time; Synthetic cartilage implant; RISK-FACTORS; HIP;

D O I：

10.1016/j.fas.2017.05.002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Background: First metatarsophalangeal joint (MTPJ1) hemiarthroplasty using a novel synthetic cartilage implant was as effective and safe as MTPJ1 arthrodesis in a randomized clinical trial. We retrospectively evaluated operative time and recovery period for implant hemiarthroplasty (n=152) and MTPJ1 arthrodesis (n=50). Methods: Perioperative data were assessed for operative and anaesthesia times. Recovery and return to function were prospectively assessed with the Foot and Ankle Ability Measure (FAAM) Sports and Activities of Daily Living (ADL) subscales and SF-36 Physical Functioning (PF) subscore. Results: Mean operative time for hemiarthroplasty was 35 +/- 12.3 min and 58 +/- 21.5 min for arthrodesis (p < 0.001). Anaesthesia duration was 28 min shorter with hemiarthroplasty (p < 0.001). At weeks 2 and 6 postoperative, hemiarthroplasty patients demonstrated clinically and statistically significantly higher FAAM Sport, FAAM ADL, and SF-36 PF subscores versus arthrodesis patients. Conclusion: MTPJ1 hemiarthroplasty with a synthetic cartilage implant took less operative time and resulted in faster recovery than arthrodesis. (C) 2017 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

引用

页码：440 / 447

页数：8

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