İleri evre halluks rijiduslu hastalarda yerli üretim total eklem artroplastisi ile tedavi sonuçlarımız

Giriş: Bu çalışmada ileri evre halluks rijiduslu hastalarda uyguladığımız 1. Metatarso-falangeal eklem total artroplastisi tedavi sonuçları değerlendirilmiştir. 

Our results with local production total arthroplasty in patients with advanced stage hallux rijidus

Objective: In this study, we evaluated the treatment results of the 1. metatarsophalangeal joint total arthroplasty in patients with advanced stage of hallux rigidus. Materials and Methods: Total joint arthroplasty was applied to 18 patients with stage 3 and 4 hallux rigidus according to Coughlin and Shurnas classification. Range of motion, visual analogue scale (VAS) and American Orthopedic Foot and Ankle Association (AOFAS) scores were evaluated retrospectively twelve months after surgery. Results: The average age of the patients was 64.44±7.16. The mean follow-up period was 18.4±2.43 months. Significant improvement was observed in the range of motion degrees (p=0,001), VAS (p<0,001) and AOFAS (p=0,001) scores in patients with metatarsophalangeal joint total arthroplasty. Complications such as implant failure, fracture, severe infection were not observed during follow-up periods. Conclusion: Total joint arthroplasty as a current treatment for advanced-stage hallux rigidus patients is promising with good results.

___

  • 1. Ibrahim T, Beiri A, Azzabi M, Best AJ, Taylor GJ, Menon DK. Reliability and validity of the subjective component of the American Orthopedic Foot and Ankle Society clinical rating scales. J Foot Ankle Surg, 2007; 46:65–74.2. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle Int, 1994;15:349–353.3. Coughlin MJ, Shurnas PS. Hallux rigidus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2003;24:731-743.4. Valentini R, De Fabrizio G, Piovan G. First metatarsophalangeal joint replacement with total arthroplasty in the surgical treatment of the hallux rigidus. Acta Biomed. 2014 Jul 22;85 Suppl 2:113–117.5. Coughlin MJ, Shurnas PS. Hallux rigidus. Grading and long-term results of operative treatment. J Bone Joint Surg Am.2003;85-A(11):2072–2088.6. Hasselman CT, Shields N. Resurfacing of the first metatarsal head in the treatment of hallux rigidus. Tech Foot Ankle Surg.2008;7:31–407. Kennedy JG, Chow FY, Dines J, Gardner M, Bohne WH. Outcomes after interpositional arthroplasty for treatment of hallux rigidus. Clin Orthop Relat Res. 2006;445:210–215.8. Fitzgerald JA, Wilkinson JM. Arthrodesis of the metatarsophalangeal joint of the great toe. Clin Orthop Relat Res. 1981;(157):70–77.9. Yetkin H, Kanatlı U, Songür M. Current treatment methods in hallux rigidus. TOTBID Dergisi 2006 ;(5): 3–4,95–100.10. Yee G, Lau J. Current concepts review: Hallux rigidus. Foot Ankle Int .2008 Jun;29(6):637– 646.11. Lundeberg T, Lund I, Dahlin L, Borg E, Gustafsson C, Sandin L, Rosen A, Kowalski J, Eriksson SV. Reliability and responsiveness of three different pain assessments. J Rehabil Med, 2001; 33:279–283.12.Raikin SM, Ahmad J, Pour AE, Abidi N. Comparison of arthrodesis and metallic hemiarthroplasty of the hallux metatarsophalangeal joint. J Bone Joint Surg Am. 2007;89(9):1979–1985.13. Berlet GC, Hyer CF, Glover J. A retrospective review of immediate weightbearing after first metatarsophalangeal joint arthrodesis. Foot and Ankle Specialist .2008;1(1):24–28.14. Hyer CF, Glover JP, Berlet GC, Lee TH. Cost comparison of crossed screws versus dorsal plate construct for first metatarsophalangeal joint arthrodesis. Journal of Foot and Ankle Surgery 2008;47(1):13–18.15. Kumar S, Pradhan R, Rosenfeld PF. First metatarsophalangeal arthrodesis using a dorsal plate and a compression screw. Foot and Ankle International. 2010;31(9): 797–801. 16. Ter Keurs EW, Wassink S, Burger BJ. First metatarsophalangeal joint replacement: Long-term results of a double-stemmed flexible silicone prosthesis. Foot Ankle Surg. 2011 Dec;17(4):224–7.17. Vallier GT, Peterson SA, LaGrone MO. Keller resection arthroplasty: A 13-yearexperience. Foot and Ankle International. 1991;11(4):187–194.18. Hamilton WG, O’Malley MJ, Thompson FM, Kovatis PE. Capsular interposition arthroplasty for severe hallux rigidus. Foot Ankle Int. 1997 Feb; 18(2):68–70.19. Akkurt MO, Şeşen H, Özdemir M, Çatma MF, Demirkale İ. Reduced postoperative functional length ratio influences patient satisfaction in first metatarsophalangeal joint replacement. J Foot Ankle Surg. 2016 Jul-Aug;55(4):743–74720. Meriç G, Erduran M, Atik A, Köse Ö, Ulusal AE, Akseki D. Short-term clinical outcomes after first metatarsal head resurfacing hemiarthroplasty for late stage hallux rigidus. J Foot Ankle Surg.2015;54:173-178.21. Duncan NS, Farrar NG, Rajan RA. Early results of first metatarsophalangeal joint replacement using the ToeFit-Plus™ prosthesis. J Foot Ankle Surg. 2014 May-Jun;53(3):265–268.22. Redfern DJ. Early failure of the Moje screw-fit ceramic metatarsophalangeal joint replacement. Foot 2003; 13(4):204–208.23. Nagy MT, Walker CR, Sirikonda SP. Second-generation ceramic first metatarsophalangeal joint replacement for hallux rigidus. Foot Ankle Int. 2014 Jul;35(7):690–698.24. Erdil M, Bilsel K, Imren Y, Mutlu S, Güler O, Gürkan V, Elmadağ NM, Tuncay I. . Metatarsal head resurfacing hemiarthroplasty in the treatment of advanced stage hallux rigidus: outcomes in the short-term. Acta Orthop Traumatol Turc. 2012;46:281-285.25. Titchener AG, Duncan NS, Rajan RA. Outcome following first metatarsophalangeal joint replacement using TOEFIT-PLUS™: A mid-term alert. Foot Ankle Surg. 2015 Jun;21(2):119–12426. Cook E, Cook J, Rosenblum B, Landsman A, Giurini J, Basile P. Meta-analysis of first metatarsophalangeal joint implant arthroplasty. J Foot Ankle Surg. 2009; 48(2):180–90.27. Chee YH, Clement N, Ahmed I, Thomson CE, Gibson JN. Functional outcomes followingceramic total joint replacement for hallux rigidus. Foot Ankle Surg. 2011 ;17(1):8-12. 28. Gibson JN, Thomson CE. Arthrodesis or total replacement arthroplasty for hallux rigidus: a randomized controlled trial. Foot Ankle Int. 2005 Sep;26(9):680-90.29. Erdil M, Elmadağ NM, Polat G, Tunçer N, Bilsel K, Uçan V, Erkoçak OF, Sen C. Comparison of arthrodesis, resurfacing hemiarthroplasty, and total joint replacement in the treatment of advanced hallux rigidus. J Foot Ankle Surg. 2013 Sep-Oct;52(5):588-93.
Pamukkale Tıp Dergisi-Cover
  • ISSN: 1309-9833
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2008
  • Yayıncı: Prof.Dr.Eylem Değirmenci
Sayıdaki Diğer Makaleler

Trombolitik tedavi uygulanan iskemik inme hastalarında hematolojik ve biyokimyasal parametrelerin prognostik değeri

Şerefnur Öztürk, Fettah Eren, Aydın Talip Yıldoğan, Melike Turan Işık, Gözde Öngün

Adenovirüs enfeksiyonu ile birlikte akut infantil hemorajik ödem gelişen bir olgu sunumu

Kadriye YALÇIN, İlknur GİRİŞGEN, Meltem POLAT, Neşe ÇALLI DEMİRKAN, Selçuk YÜKSEL

Perforan göz yaralanmasına ikincil travmatik kataraktlarda katarakt cerrahisi sonuçları

Nilgün Özkan Aksoy, Burçin Köklü Çakır, Erkan Çelik, Emine Doğan, Özlem Bursalı

Miyokard enfarktüsü ve kardiyovasküler olay geçiren hastalarda 5HT2C polimorfizminin saptanması

İbrahim AÇIKBAŞ, Buket ER URGANCI, Dursun DURSUNOĞLU, Asuman KAFTAN

İkinci basamak bir acil serviste trombolitik tedavi deneyimi

Mehmet Ali Aslaner, Necmi Baykan

Detection of the 5HT2C polymorphism in myocardial infarction and cardiovascular event patients

İbrahim Açıkbaş, Dursun Dursunoğlu, Ayşen Buket Er Urgancı, Asuman Kaftan

Meme kanserinde serum matriks metalloproteinaz 2-7-9, doku matriks metalloproteinaz inhibitörü 1, vasküler endotelial büyüme faktörü, interlökin 6 ve interlökin 8 düzeylerinin değerlendirilmesi

Aydın Demiray, Burcu Taşköylü, Atike Gökçen Demiray, Serkan Değirmencioğlu, Gamze Gököz Doğu

Sol ventrikül nonkompaksiyonu:Manyetik rezonans görüntüleme bulguları

Furkan Ufuk, İsmail Doğu Kılıç, Hüseyin Gökhan Yavaş, İbrahim Hasbey

İNTRARENAL REFLÜ

Selçuk Yüksel, Neslihan Yılmaz

Antalya Eğitim ve Araştırma Hastanesi multipl skleroz polikliniğinin oral tedavi deneyimi

Burcu Yüksel, Fatma Kurtuluş, Abidin Erdal