Sage Journals: Discover world-class research

Abstract

Background:

The aim of this study was to compare outcome (clinical, patient-reported outcome measures, radiologic, joint motion and pedographic) of total joint replacement with Roto-Glide (RG) and arthrodesis (A) for severe osteoarthritis of the first metatarsophalangeal joint (MTP1).

Methods:

All consecutive patients with arthrodesis and RG from January 23, 2011, until September 18, 2019, at the authors’ institution were considered for inclusion in the study. Preoperatively and at follow-up (FU), radiographs, and/or weightbearing computed tomographic imaging were obtained. Standard dynamic pedography was performed. Visual analog scale foot and ankle (VASFA), European Foot and Ankle Society (EFAS) score, MTP1 range of motion for dorsiflexion/plantarflexion (DF/PF) were registered and compared preoperatively and at FU.

Results:

Seventy RG and 72 arthrodesis patients were included. Preoperative VASFA and EFAS scores did not differ between the RG and arthrodesis groups (average scores: VASFA, 50.6 and 45.6; EFAS score, 10.7 and 10.6, respectively; each P > .05). Wound healing delays without further operative measures were registered in 4 patients (6%) for RG and 5 (7%) for arthrodesis (P = .67), and 5 revisions in 5 patients (7%) for RG and 12 in 8 (11%) for arthrodesis (P = .05). The longest available FU was higher in RG than in arthrodesis (47 vs 37 months on average, P < .001). Pedography showed higher first metatarsal head or sesamoids and lower great toe force percentage from force of entire foot in RG than in arthrodesis (P = .05) resulting in physiological pattern in RG only. VASFA and EFAS scores at FU was higher in RG than in arthrodesis (average scores: VASFA, 72.6 and 63.6; EFAS score, 16.1 and 14.1, respectively; each P < .05). DF/PF measurement was only possible in RG (average value: DF/PF, 36.1/14.0).

Conclusion:

We found marginally lower revision rates and higher patient-reported outcome measures, joint motion (DF/PF), and more physiologic force distribution at slightly longer FU for the RG group than the arthrodesis group. Longer follow-up and broader clinical reporting are needed to identify the potential deficits of RG.

Level of Evidence:

Level III, retrospective cohort study.

Keywords

first metatarsophalangeal joint arthrodesis total joint replacement Roto-Glide

Get full access to this article

View all access options for this article.

References

Bartak

Popelka

Hromadka

Pech

Jahoda

Sosna

[ToeFit-Plus system for replacement of the first metatarsophalangeal joint]. Article in Czech. Acta Chir Orthop Traumatol Cech. 2010;77(3):222-227.

Barwick

Talkhani

IS.

The MOJE total joint arthroplasty for 1st metatarso-phalangeal osteoarthritis: a short-term retrospective outcome study. Foot (Edinb). 2008;18(3):150-155. doi: 10.1016/j.foot.2008.03.006.

Baumhauer

Singh

Glazebrook

, et al. Correlation of hallux rigidus grade with motion, VAS pain, intraoperative cartilage loss, and treatment success for first MTP joint arthrodesis and synthetic cartilage implant. Foot Ankle Int. 2017;38(11):1175-1182. doi: 10.1177/1071100717735289.

Brewster

Does total joint replacement or arthrodesis of the first metatarsophalangeal joint yield better functional results? A systematic review of the literature. J Foot Ankle Surg. 2010;49(6):546-552.

Brewster

McArthur

Mauffrey

Lewis

Hull

Ramos

Moje first metatarsophalangeal replacement–a case series with functional outcomes using the AOFAS-HMI score. J Foot Ankle Surg. 2010;49(1):37-42.

Claassen

Plaass

Pastor

, et al. First metatarsophalangeal joint arthrodesis: a retrospective comparison of crossed-screws, locking and non-locking plate fixation with lag screw. Arch Bone Joint Surg. 2017;5(4):221-225.

Fuhrmann

Wagner

Anders

JO.

First metatarsophalangeal joint replacement: the method of choice for end-stage hallux rigidus?

Foot Ankle Clin. 2003;8(4):711-721, vi.

Gibson

Thomson

CE.

Arthrodesis or total replacement arthroplasty for hallux rigidus: a randomized controlled trial. Foot Ankle Int. 2005;26(9):680-690.

Karpe

Killen

Chauhan

Pollock

Limaye

Early results of Roto-Glide joint arthroplasty for treatment of hallux rigidus. Foot (Edinb). 2018;34:58-62. doi: 10.1016/j.foot.2017.11.006

10.

Kofoed

Is total replacement of the first MTP-joint for arthrosis an option? An overview. Fuss Sprungg 2011;9:39-45.

11.

Kofoed

Danborg

Grindsted

Merser

The Rotoglide total replacement of the first metatarso-phalangeal joint. A prospective series with 7-15 years clinico-radiological follow-up with survival analysis. Foot Ankle Surg. 2017;23(3):148-152. doi: 10.1016/j.fas.2017.04.004

12.

Kundert

Zollinger-Kies

Endoprothetik bei Hallux rigidus [Endoprosthetic replacement of hallux rigidus]. Article in German. Orthopade 2005;34(8):748-757. doi: 10.1007/s00132-005-0827-4

13.

Lam

Chan

Surace

Vulcano

Hallux rigidus: how do I approach it?

World J Orthop. 2017;8(5):364-371. doi: 10.5312/wjo.v8.i5.364

14.

Richter

Total joint replacement of the first metatarsophalangeal joint with Roto-Glide as alternative to arthrodesis. Fuss Sprungg. 2019;17:42-50.

15.

Richter

Agren

Besse

, et al. EFAS Score - multilingual development and validation of a patient-reported outcome measure (PROM) by the score committee of the European Foot and Ankle Society (EFAS). Foot Ankle Surg. 2018;24(3):185-204. doi: 10.1016/j.fas.2018.05.004

16.

Richter

Zech

Andreas Meissner

Matrix-associated stem cell transplantation (MAST) in chondral defects of the 1st metatarsophalangeal joint is safe and effective—2-year-follow-up in 20 patients. Foot Ankle Surg. 2017;23(3):195-200. doi: 10.1016/j.fas.2016.05.318

17.

Richter

Zech

Geerling

Frink

Knobloch

Krettek

A new foot and ankle outcome score: questionnaire based, subjective, visual-analogue-scale, validated and computerized. Foot Ankle Surg. 2006;12(4):191-199.

18.

Shereff

Baumhauer

JF.

Hallux rigidus and osteoarthrosis of the first metatarsophalangeal joint. J Bone Joint Surg Am. 1998;80(6):898-908.

19.

Tunstall

Laing

Limaye

, et al. 1st metatarso-phalangeal joint arthroplasty with ROTO-glide implant. Foot Ankle Surg. 2017;23(3):153-156. doi: 10.1016/j.fas.2017.07.005.

20.

Wetke

Zerahn

Kofoed

Prospective analysis of a first MTP total joint replacement. Evaluation by bone mineral densitometry, pedobarography, and visual analogue score for pain. Foot Ankle Surg. 2012;18(2):136-140.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.61 MB

Comparison of Total Joint Replacement With Arthrodesis of the First Metatarsophalangeal Joint

Abstract

Background:

Methods:

Results:

Conclusion:

Level of Evidence:

Keywords

Get full access to this article

References

Supplementary Material