Modern Treatment of Hallux Rigidus by Cheilectomy: A Systematic Review of Patient-Reported Outcomes in Minimally Invasive Techniques.

Foot & Ankle Orthopaedics Pub Date : 2024-12-17 eCollection Date: 2024-10-01 DOI:10.1177/24730114241303169
Scott D Semelsberger, Michael S Lee, Cale B Dobson, Christopher P Miller, Arianna L Gianakos
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Abstract

Background: Minimally invasive cheilectomy is becoming a more prominent surgical approach in the management of mild to moderate hallux rigidus. This systematic review aims to analyze and present the current literature on patient-reported outcomes following minimally invasive (MIS) cheilectomy for mild to moderate hallux rigidus.

Methods: PubMed, Cochrane Central Register of Controlled Trials, and Scopus databases were searched in April 2024. Inclusion criteria consisted of articles evaluating patients undergoing cheilectomy through an MIS approach either using fluoroscopy or arthroscopy, studies that reported patient-reported outcomes, and studies written in English. The primary outcome measure was scored patient-reported outcomes. The secondary outcome measures included complications, secondary surgeries, surgical techniques, return to activity, patient satisfaction, and grades of hallux rigidus.

Results: Eight studies met the inclusion criteria, and a total of 296 patients were evaluated. Overall, 36 of 296 (12.2%) underwent arthroscopy with a shaver, 130 of 296 (43.9%) underwent an MIS percutaneous approach with burr, and 130 of 296 (43.9%) had a combination of both techniques. The mean reported range of motion (dorsiflexion) improved from 32.4 degrees (range, 6.3-50.0 degrees) to 61.2 degrees (range, 47.6-89.6 degrees). All studies that reported patient outcomes scores demonstrated improved outcomes regardless of surgical technique. Overall combined reported complication rate was 18 of 296 (6.1%), with the most common complication being dorsomedial cutaneous nerve problems, affecting 6 of 296 patients (2.0%).

Conclusion: Minimally invasive cheilectomy results in positive patient outcomes, patient satisfaction, preserves range of motion, and has low complication rates for the treatment of mild to moderate hallux rigidus.

拇僵直的现代治疗:微创技术对患者报告结果的系统回顾。
背景:微创颧骨切除术正成为治疗轻中度拇趾僵硬的重要手术方法。本系统综述旨在分析和介绍目前关于轻度至中度拇趾僵硬的微创(MIS)颧骨切除术后患者报告的结果的文献。方法:于2024年4月检索PubMed、Cochrane Central Register of Controlled Trials和Scopus数据库。纳入标准包括评价通过MIS入路(使用透视或关节镜)行颧骨切除术患者的文章、报告患者报告结果的研究以及以英文撰写的研究。主要结局指标是对患者报告的结局进行评分。次要结局指标包括并发症、二次手术、手术技术、恢复活动、患者满意度和拇僵硬程度。结果:8项研究符合纳入标准,共评估296例患者。总的来说,296名患者中有36名(12.2%)接受了关节镜手术,296名患者中有130名(43.9%)接受了带毛刺的MIS经皮入路,296名患者中有130名(43.9%)采用了两种技术的结合。报告的平均活动范围(背屈)从32.4度(范围6.3-50.0度)改善到61.2度(范围47.6-89.6度)。所有报告患者预后评分的研究都表明,无论手术技术如何,预后都有所改善。296例患者中合并并发症发生率为18例(6.1%),其中最常见的并发症为背内侧皮神经问题,296例患者中有6例(2.0%)出现并发症。结论:微创颧骨切除术治疗轻、中度拇趾僵硬患者预后良好,患者满意度高,保留关节活动范围,并发症发生率低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Foot & Ankle Orthopaedics
Foot & Ankle Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
1.20
自引率
0.00%
发文量
1152
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