Arthrodesis of the I Metatarsophalangeal Joint in the Treatment of Hallux Rigidus

Kairat Tazhin, Aset Nurakhmetov, Aida Dossanova

2024

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DOI 10.52889/1684-9280-2023-3-74-26-31
Data confidence 70 medium
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Abstract

The high prevalence and functional significance of the joint determines the relevance of the treatment of osteoarthritis of the I metatarsophalangeal joint (MTPJ). Given the disabling nature of hallux rigidus, which significantly impairs mobility and quality of life, ongoing research into its causes and treatment options remains critical.The study aims to assess the operation's result at the III-IV degrees of arthrosis and determine its effectiveness in improving the forefoot's functionality after arthrodesis on the I MTPJ.Methods. Ninety-nine patients with arthrosis I MTPJ were examined, which included 69 female and 30 male patients. All patients have III-IV a degree of the deformation of the I-phalangeal joint and intense pain syndrome. The number of patients with the idiopathic form was 77 patients, 17 patients with concomitant rheumatoid arthritis and 1 patient with gout, 4 patients had post-traumatic deformities. An outcome study was performed using clinical and radiological data. However, two VAS and AOFAS rating scales were used.Results. A survey was conducted to measure pain and assess the condition of patients before and after surgery using the VAS and AOFAS scales. The results showed that the pain rate among all 99 patients dropped from 8.7 to 0.5. Also, the AOFAS score improved from an average of 34 to 87. Most patients (77) rated the results as "excellent", while 22 patients rated them as "good". Ratings "fair" or "poor" were not received.Conclusion. Arthrodesis is an effective surgery for arthritis of the I MTPJ, but it's important to weigh the benefits against the potential complications.