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Cheilectomy as a first-line surgical treatment option yields good functional results in grade III hallux rigidus / Engin Cetinkaya in Journal of the American Podiatric Medical Association, vol.106, 1 (Janvier 2016)
[article]
in Journal of the American Podiatric Medical Association > vol.106, 1 (Janvier 2016) . - 22-26
Titre : Cheilectomy as a first-line surgical treatment option yields good functional results in grade III hallux rigidus Type de document : article de périodique Auteurs : Engin Cetinkaya ; Merter Yalcinkaya ; Sami Sokucu Année de publication : 2016 Article en page(s) : 22-26 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:H:Hallux rigidus:Hallux rigidus / thérapie
[Thésaurus Mesh]Chirurgie générale
[Thésaurus Mesh]Hallux rigidus
[Thésaurus Mesh]OstéophyteRésumé : Background: This study aimed to analyze the functional results of cheilectomy in the surgical treatment of grade III hallux rigidus and to evaluate whether cheilectomy is a preferable first-line treatment over other surgical methods.
Methods: Of 29 patients with moderate daily physical activity who underwent cheilectomy between 2009 and 2012 on being diagnosed as having grade III hallux rigidus according to the Coughlin-Shurnas grading system, 21 patients (14 women and 7
men; mean age, 59.2 years; age range, 52–67 years) (22 feet) with regular follow-up and complete medical records were included in the study. The patients were evaluated in the preoperative and postoperative periods using a visual analog scale for pain and the American Orthopaedic Foot and Ankle Society metatarsophalangeal assessment forms.
Results: The preoperative mean American Orthopaedic Foot and Ankle Society score of 53 (range, 29–67) improved to 78 (range, 57–92) postoperatively (Wilcoxon test P ¼.001). The preoperative mean visual analog scale score of 89 (range, 60–100) improved
to 29 (range, 0–70) in the postoperative period (Wilcoxon test P ¼ .001).
Conclusions: As a simple and repeatable procedure that allows for further jointsacrificing surgical procedures when required, cheilectomy is a preferable method to be applied as a first-line option for the surgical treatment of grade III hallux rigidus.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Comparison of hallux rigidus surgical treatment outcomes between active duty and non–active duty populations / Marc D. Jones in Journal of the American Podiatric Medical Association, vol.108, 4 (Juillet-aout 2018)
[article]
in Journal of the American Podiatric Medical Association > vol.108, 4 (Juillet-aout 2018) . - p. 272-279
Titre : Comparison of hallux rigidus surgical treatment outcomes between active duty and non–active duty populations Type de document : article de périodique Auteurs : Marc D. Jones ; [et al.] Année de publication : 2018 Article en page(s) : p. 272-279 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:H:Hallux rigidus:Hallux rigidus / thérapie
[Thésaurus Mesh]Arthrodèse
[Thésaurus Mesh]Étude comparative
[Thésaurus Mesh]Hallux rigidus
[Thésaurus Mesh]Ostéotomie
[Thésaurus Mesh]Personnel militaire
[Thésaurus Mesh]Procédures de chirurgie opératoire
[Thésaurus HELB]:Paramédical:ChéilectomieMots-clés : therapeutics sedentary lifestyle comparative study military personnel surgical procedures, operative osteotomy arthrodesis Résumé : Background: Our aim in this study was to compare the long-term outcomes of three different surgical procedures for the treatment of hallux rigidus (ie, cheilectomy, decompressive osteotomy, and arthrodesis) between active duty military and non–active duty patients. Methods: A retrospective review of 80 patients (95 feet) undergoing surgical treatment for hallux rigidus was performed. Telephone survey was used to obtain postoperative outcome measures and subjective satisfaction. Additional data recorded and analyzed included age, sex, status of patient (active duty or non–active duty), grade of hallux rigidus, surgical procedure performed, date of surgery, time to return to full activity, ability to return to full duty, and follow-up time postoperatively. Results: The decompressive osteotomy group had the highest return-to-duty rate, satisfaction rate, and Maryland Foot Scores of all three surgical groups, although these differences were not statistically significant. Active duty and non–active duty patients did not have statistically significant differences in outcomes measures (ie, time to return to full activity, ability to return to full duty, satisfaction, or postoperative Maryland Foot Score) in any of the three surgical groups. Conclusions: Decompressive osteotomy, cheilectomy, and first metatarsophalangeal joint arthrodesis are all reliable and effective procedures for treatment of hallux rigidus in both active duty military and non–active duty patients. Active duty military personal have a high rate of returning to their prior military activities after surgical treatment of hallux rigidus. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Conservative care recommendations for the stages of hallux limitus/rigidus / Samantha Miner in Podiatry today, vol. 30, 12 (Décembre 2017)
[article]
in Podiatry today > vol. 30, 12 (Décembre 2017) . - p. 48-52
Titre : Conservative care recommendations for the stages of hallux limitus/rigidus Type de document : article de périodique Auteurs : Samantha Miner, Auteur Année de publication : 2017 Article en page(s) : p. 48-52 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:H:Hallux limitus:Hallux limitus / thérapie
[Thésaurus Mesh]:H:Hallux rigidus:Hallux rigidus / thérapie
[Thésaurus Mesh]Hallux limitus
[Thésaurus Mesh]Hallux rigidusMots-clés : therapeutics Résumé : Classification systems can be invaluable for directing treatment for hallux limitus/rigidus. Accordingly, these authors recommend a modified classification system that integrates treatment methods and goals with an emphasis on conservative care. En ligne : https://www.podiatrytoday.com/conservative-care-recommendations-stages-hallux-li [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité P Périodique Erasme - périodiques Périodiques Disponible Early results of Roto-glide joint arthroplasty for treatment of hallux rigidus / Marie Clare Killen in The Foot, 34 (Mars 2018)
[article]
in The Foot > 34 (Mars 2018) . - p. 58-62
Titre : Early results of Roto-glide joint arthroplasty for treatment of hallux rigidus Type de document : article de périodique Auteurs : Marie Clare Killen ; [et al.] Année de publication : 2018 Article en page(s) : p. 58-62 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:H:Hallux rigidus:Hallux rigidus / chirurgie
[Thésaurus Mesh]:H:Hallux rigidus:Hallux rigidus / thérapie
[Thésaurus Mesh]Arthroplastie
[Thésaurus Mesh]Hallux rigidusMots-clés : arthroplasty Résumé : Background
Traditionally severe hallux rigidus is treated with arthrodesis. Recently arthroplasty has been used in order to retain motion at the metatarsophalangeal joint.
Aim
To assess the early to mid-term functional and radiological outcomes in patients undergoing first metatarsophalangeal arthroplasty using the Rotoglide implant.
Materials and methods
A prospective review was undertaken to assess functional and radiological outcomes of all patients undergoing an un-cemented three-component first metatarsophalangeal arthroplasty for hallux rigidus. Thirty four implants were performed in 28 patients over a 2-year period. Mean age was 60.5 years (range 45–77 years). Mean follow-up was 27.7 months (range 7–44 months).
Results
Mean AOFAS score improved from 41.2 pre-operatively to 89.1 at final follow-up (47.9; 95% CI = 43.6–54.3; p < 0.0001). The mean metatarsophalangeal (MTP) range of motion improved from 29.5° pre-operatively to 68.2° post-operatively (38.7; 95% CI = 35.1–42.2; p < 0.0001). The mean AOFAS pain scores improved from 8.8 preoperatively to 35.0 postoperatively (26.2; 95% CI = 22.4–29.9; p < 0.0001).
Three patients required revision surgery. No radiological complications were observed in any other patients.
Conclusions
This un-cemented prosthesis provides pain relief, while maintaining range of motion of the joint. The authors have observed clinically and statistically significant improvement in functional outcomes, with a low early complication rate and high patient satisfaction levels.En ligne : https://reader.elsevier.com/reader/sd/3046D06672D7780154E590EB0F46E228475C0FB0BF [...] Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité F Périodique Erasme - périodiques Périodiques Disponible F Périodique Erasme - périodiques Périodiques Disponible