A Comparison of the Effects of First Metatarsophalangeal Joint Arthrodesis and Hemiarthroplasty on Function of Foot Forces using Gait Analysis

M. Callaghan, S. Whitehouse, V. Baltzopoulos, R. Samarji
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引用次数: 3

Abstract

Background: Arthroplasty or hemiarthroplasty for hallux rigidus of the first metatarsophalangeal (1 st MTPJ) is thought to lead to greater joint motion and improved gait function. There have been no studies to compare the effects of 1 st MTPJ arthrodesis and hemiarthroplasty on joint kinetics, kinematics and plantar pressures of foot and lower limb. Methods: A retrospective, case series pilot study approximately 22 months post operation. Subjects had either arthrodesis or a NorthStar HemiCAP hemiarthroplasty for osteoarthritis of the 1 st MTPJ. All had plantar pressure, kinetic and kinematic gait analysis as well as the Foot and Ankle Outcome Score (FAOS), and 1 st MTPJ range of motion (ROM). Results: For the hemiarthroplasty subjects the mean ROM on the non-operated 1 st MTPJ was 49 0 (SD23) but only19 0
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用步态分析比较第一跖趾关节置换术与半关节置换术对足力功能的影响
背景:关节置换术或半关节置换术治疗第一跖趾趾僵直(1 MTPJ)被认为可以导致更大的关节运动和改善步态功能。目前还没有研究比较第1次MTPJ关节融合术和半关节置换术对足和下肢关节动力学、运动学和足底压力的影响。方法:术后约22个月的回顾性病例系列初步研究。受试者采用关节融合术或NorthStar HemiCAP半关节置换术治疗第1 MTPJ骨关节炎。所有患者均有足底压力、动力学和运动学步态分析、足踝关节结局评分(FAOS)和第一个MTPJ活动范围(ROM)。结果:对于半关节置换术患者,非手术1 MTPJ的平均ROM为49 0 (SD23),而仅为19 0
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