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Synthetic cartilage implant vs. first metatarsophalangeal arthrodesis for the treatment of hallux rigidus.
Budde, Konrad; Claassen, Leif; Plaass, Christian; Stukenborg-Colsman, Christina; Daniilidis, Kiriakos; Yao, Daiwei.
Afiliación
  • Budde K; Orthopedic Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany. konradbudde@hotmail.de.
  • Claassen L; Orthopedic Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
  • Plaass C; Rueckenprofis Hannover, Luisenstraße 10-11, 30159, Hannover, Germany.
  • Stukenborg-Colsman C; Orthopedic Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
  • Daniilidis K; Orthopedic Department, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
  • Yao D; OTC Regensburg, Paracelcusstraße 2, 93053, Regensburg, Germany.
Arch Orthop Trauma Surg ; 2024 Sep 17.
Article en En | MEDLINE | ID: mdl-39287788
ABSTRACT

BACKGROUND:

This study evaluated the outcome of the Cartiva synthetic cartilage implant (SCI) in the treatment of hallux rigidus.

METHODS:

In the present retrospective matched case-control study, we compared 18 patients with Cartiva SCI (mean follow-up 17.7 months) to 18 patients with metatarsophalangeal joint arthrodesis (mean follow-up 20 months) using multiple function measures, along with four specified visual analog subscales for pain. Pre- and postoperative radiographs were compared, and radiographic abnormalities were documented.

RESULTS:

We observed no significant differences in function measures between groups. While both groups experienced significant pain reduction, the arthrodesis group reported significantly lower exertion pain than the Cartiva SCI group (p = 0.004). Radiographic abnormalities, including implant site enlargement (6/18, 33.3%), erosive changes of the metatarsal bone (11/18, 61.1%) or articular surfaces (10/18, 55.6%), and bright sclerotic margins (12/18, 66.7%), occurred in the Cartiva SCI group.

CONCLUSION:

The present study showed good functional results and a high satisfaction rate after MTP joint arthrodesis, which is considered the gold standard surgical treatment for higher grade hallux rigidus. While the Cartiva SCI group did not show significant differences from the arthrodesis in most aspects of function and clinical scores, the arthrodesis group tended to have better results in terms of satisfaction, residual pain, and revision rate. Even after the short follow-up period, there were some remarkable radiographic findings in the Cartiva SCI group, the long-term effects of which are not yet evident, but which may lead to implant loss. Cartiva SCI has advantages for patients who prioritize postoperative mobility, but the potential risks should be considered in the patient's informed consent. Therefore, the present study highlights the importance of MTP joint arthrodesis for the treatment of hallux rigidus. LEVEL OF EVIDENCE Level IV - Retrospective matched case-control study.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arch Orthop Trauma Surg Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Arch Orthop Trauma Surg Año: 2024 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Alemania