Revision arthrodesis after first metatarsophalangeal joint arthroplasty: A nationwide analysis of implant type and revision-related factors.

IF 2.4 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2026-07-03 DOI:10.1016/j.fas.2026.06.021

Arslan Kağan Arslan, Nuri Koray Ülgen, Nihat Yiğit, İzzet Bingöl, Naim Ata, Şuayip Birinci, İbrahim Bozkurt, Kadir Eren Biçer, Melih Atalay, Aydan Yıldırım Fidancı, Mehmet Orçun Akkurt

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引用次数: 0

Abstract

Background: First metatarsophalangeal (MTP) joint arthroplasty is used as a motion-preserving option for hallux rigidus, but revision risk remains a concern.

Methods: We retrospectively analyzed patients who underwent first MTP joint arthroplasty in the Turkish national electronic health database between January 2018 and December 2023. Revision arthrodesis was assessed through November 20, 2025. Demographics, implant type, bilaterality, and comorbidities were compared between revised and non-revised patients.

Results: Among 901 patients, 192 underwent revision arthrodesis, yielding an observed cumulative revision rate of 21.3%. Revisions occurred frequently within 24 months. Total arthroplasty had a higher revision rate than hemiarthroplasty (23.4% vs 15.5%) and remained independently associated with revision after adjustment. Increasing age was associated with lower revision likelihood, whereas comorbidities were not independent predictors.

Conclusion: First MTP arthroplasty showed a substantial revision burden, particularly after total arthroplasty.

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首次跖趾关节置换术后假体修复术：全国范围内假体类型及修复相关因素的分析。

背景：第一跖趾（MTP）关节置换术被用作拇趾僵硬的运动保留选择，但翻修风险仍然是一个问题。方法：我们回顾性分析2018年1月至2023年12月土耳其国家电子健康数据库中首次接受MTP关节置换术的患者。评估翻修关节融合术至2025年11月20日。统计数据、种植体类型、双侧性和合并症在改良和未改良患者之间进行比较。结果：901例患者中，192例进行了翻修关节融合术，观察到的累计翻修率为21.3%。修订在24个月内频繁发生。全关节置换术的翻修率高于半关节置换术（23.4% vs 15.5%），并且与调整后翻修独立相关。年龄增加与较低的翻修可能性相关，而合并症并不是独立的预测因素。结论：首次MTP关节置换术有很大的翻修负担，特别是在全关节置换术后。

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 and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.