优秀运动员首次跖趾关节置换术后重返运动。

IF 2.7 Q1 ORTHOPEDICS

Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine Pub Date : 2025-01-16 DOI:10.1016/j.jisako.2025.100390

Dror Maor , Daniel Meyerkort , Salar Sobhi , James Calder

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引用次数: 0

摘要

介绍：第一跖趾关节融合术（MTPJ）是一种减轻疼痛和恢复功能的可靠方法。然而，关于这种手术的结果和精英运动员重返运动的能力的已发表文献有限。本研究旨在评估精英运动员首次MTPJ关节融合术的结果及其重返职业运动的能力。方法：对2004 - 2016年首次行MTPJ关节融合术的优秀运动员进行单中心前瞻性病例系列研究。患者分别在术后2周、6周、12周和1年以及最终随访时进行评估。采用足踝预后评分（FAOS）和视觉模拟评分（VAS）评分及满意度评估临床结果。结果：入选16例优秀运动员，平均年龄27岁（范围19-32,81%），平均随访81个月（范围60-121个月）。术后1年，12名（75%）运动员恢复到原来的运动水平。在4名无法回归的运动员中，两名足球运动员降级，一名ATP网球运动员从未恢复到原来的排名，一名羽毛球运动员无法恢复到相同的比赛水平。平均VAS评分从术前到最终随访有所改善（5.6 ~ 0.4,p < 0.001）。术前至终随访FAOS评分均有显著改善（p < 0.05）。所有（100%）运动员在最后的随访中都非常满意或满意。结论：据我们所知，这是第一个调查重返精英水平运动后首次MTPJ关节融合术的研究。我们的研究结果证实，绝大多数患者术后将恢复到他们的运动水平。所有患者的临床结果均得到改善，疼痛减轻。证据级别：IV证据级别：V

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Return to sport after first metatarsophalangeal arthrodesis in elite athletes

Introduction

Arthrodesis of the first metatarsophalangeal joint (MTPJ) is a reliable procedure in alleviating pain and restoring function. However, there is limited published literature of the outcomes of this procedure and the ability to return to sport in elite athletes. This study aims to assess the outcomes of first MTPJ arthrodesis in the elite athlete population and their ability to return to professional sport.

Methods

A single-center prospective case series of elite athletes undergoing first MTPJ arthrodesis between 2004 and 2016 was conducted. Patients were assessed a minimum of 2, 6, 12 weeks, and 1-year postoperation and at the final follow-up. Clinical outcomes were evaluated using the Foot and Ankle Outcome Score (FAOS) and visual analogue scale (VAS) scores and assessing satisfaction.

Results

Sixteen elite athletes with a mean age of 27 years (range 19–32, 81 %) and mean follow-up of 81 months (range 60–121 months) were included. At 1-year postoperation, 12 (75 %) athletes returned to their original level of sport. Of the four unable to return, two soccer players dropped a division, an ATP tennis player never regained his original ranking, and a badminton player was unable to return to the same level of competition. Mean VAS scores improved from preoperation to final follow-up (5.6–0.4, p < 0.001). All FAOS subscores showed significant improvement from preoperation to final follow-up (all p < 0.05). All (100 %) athletes were either very satisfied or satisfied at final follow-up.

Conclusion

To our knowledge, this is the first study investigating return to elite level sport post first MTPJ arthrodesis. Our results confirm that a significant majority will return to their elite level of sport post operatively. Improved clinical outcomes and pain reduction was achieved in all patients.