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Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_21 | Pages 32 - 32
1 Apr 2013
Al-Maiyah M Rice P Schneider T
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Introduction

Hallux Rigidus affects 2–10% of population, usually treated with cheilectomy or arthrodesis, however, for the subclass of patients who refuse to undergo fusion, Arthroplasty is an alternative solution, it maintain some degree of motion and provide pain relief. Toefit; is one of the prostheses being used. It is a total joint replacement with polyethylene insert.

The aim of this study is to find clinical and radiological outcomes of Toefit arthroplasty.

Method

A prospective study. Ethical committee approval was obtained. Patient who have received Toefit Arthroplasty with at least 12 months follow-up and were willing to participate in the study were included. Patients were reviewed by independent surgeon. Questionnaires were completed followed by clinical examination. This followed by radiographic assessment. Patients, who were willing to take part in the study but could not attend a clinical review, were invited to participate in telephone questionnaire. Pre and postoperative AOFAS scores were compared, patients' satisfaction and clinical and radiological outcome were assessed using descriptive statistics, t-test and survivalship analysis were done.


Orthopaedic Proceedings
Vol. 92-B, Issue SUPP_I | Pages 240 - 240
1 Mar 2010
Hinsley D Rice P Cooke P Sharp R
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Background: Total ankle replacement (TAR) has become an established surgical procedure for the management of end-stage ankle arthropathy offering an alternative to ankle fusion. Controversy exists over whether to correct concomitant hindfoot arthropathy or malalignment as a separate procedure or simultaneously with TAR. Simultaneous surgery confers the advantage of one operation and recovery period, however, many authors believe complication rates may be higher and long-term function compromised.

Method: A retrospective review of all patients, between January 2003 and January 2007, who had undergone simultaneous bony hindfoot or midfoot corrective surgery and TAR, at our institution was performed. A matched group of primary TAR patients were included as controls. Mean follow-up was 38 and 39 months respectively. Data collected included demographics and indications, details of operative procedure, and complications with outcomes assessed by patient satisfaction, range of movement, walking distance and Visual Analogue Score (VAS) for pain.

Results: The two groups were matched for age, sex, follow-up, prostheses and diagnosis. The underlying pathology was predominantly osteoarthritis. Mean VAS improved by 7.66 points in the TAR alone group and 8 points in the TAR and adjuvant surgical procedure group. There was no statistical difference in infection, delayed wound healing, malleolar fracture or re-operation rates between the two groups.

Conclusion: We believe that an experienced Foot and Ankle surgeon can perform corrective hindfoot or mid-foot surgery simultaneously with TAR without significantly compromising outcome.