Hallux interphalangeal involvement after metatarsophalangeal joint arthrodesis. Treatment and Results

  • Enzo Sperone Sanatorio Finochietto, Ciudad de Buenos Aires, Buenos Aires, Argentina
  • Martín Rofrano Sanatorio Finochietto, Ciudad de Buenos Aires, Buenos Aires, Argentina
  • Andrés Bigatti Hospital Español de Buenos Aires, Ciudad de Buenos Aires, Buenos Aires, Argentina
  • Matías Iglesias Sanatorio Finochietto, Ciudad de Buenos Aires, Buenos Aires, Argentina
  • Iván Torterola Sanatorio Finochietto, Ciudad de Buenos Aires, Buenos Aires, Argentina
  • Alberto Macklin Vadell Sanatorio Finochietto, Ciudad de Buenos Aires, Buenos Aires, Argentina
Keywords: Arthrodesis, Metatarsophalangeal joint, Toe joint, Hallux, Arthrosis

Abstract

Objective: To assess the involvement of the hallux interphalangeal (IP) joint after first metatarsophalangeal joint (MTPJ) arthrodesis and propose a treatment consisting of MTPJ resection arthroplasty associated with phalangeal osteotomy or IP joint arthrodesis. Methods: We retrospectively analyzed 9 patients treated with MTPJ resection arthroplasty associated with phalangeal osteotomy or hallux IP joint arthrodesis from November 2006 to January 2017. Results: The main causes of MTPJ arthrodesis that subsequently evolved to IP involvement were severe hallux valgus and sequelae or complications of previous hallux valgus operations. Additionally, the reasons leading to rescue surgery were pain, deformity, and/or discomfort. Conclusion: This therapeutic modality is able to relieve symptoms by a simple procedure, with acceptable functional and esthetic
results. Level of Evidence IV; Therapeutic Studies; Case Series.

Published
30-08-2020
How to Cite
Sperone, E., Rofrano, M., Bigatti, A., Iglesias, M., Torterola, I., & Macklin Vadell, A. (2020). Hallux interphalangeal involvement after metatarsophalangeal joint arthrodesis. Treatment and Results. Journal of the Foot & Ankle, 14(2), 132-137. https://doi.org/10.30795/jfootankle.2020.v14.1172