Evaluation of the clinical-radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux

• Autor(a) principal: Rogério de Andrade Gomes
• Data de Publicação: 2021
• Outros Autores: Bruno Jannotti Pádua, Anderson Humberto Gomes, João Murilo Brandão Magalhães, Wagner Vieira da Fonseca, Tauam Filipe Galo Magalhães, Luiz Eduardo Moreira Teixeira
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/53763
• topic: Arthrodesis; Arthroscopy; Hallux; Metatarsalphalangeal join; Artrodese; Hallux; Artroscopia

Objective: To present the clinical and radiographic results of patients undergoing arthroscopic metatarsal-phalangeal arthrodesis of the hallux, depict the technique and report complications. Methods: This study involves a series of 9 patients (10 feet), all with advanced hallux rigidus (Coughlin-Shurnas grades 3 and 4). All patients underwent an arthroscopic procedure through two dorsal portals with small-joint instruments. Outcomes were assessed using the AOFAS functional score and a visual analogue scale of pain. The radiographic parameters of interest were metatarsal-phalangeal angulation in the anteroposterior (pre- and postoperative) and lateral (post-operative) views, as well as ray shortening. Conclusion: Arthroscopic metatarsal-phalangeal arthrodesis is an excellent treatment option in advanced stages of hallux rigidus, with minimal disruption, excellent outcomes, and a low incidence of complications.