Implant Arthroplasty versus Arthrodesis for the Treatment of Advanced Hallux Rigidus

A Meta-analysis of Comparative Studies

Young Hwan Park, Jae Hyun Jung, Seong Hyun Kang, Gi Won Choi, Hak Jun Kim

Research output: Contribution to journalReview article

Abstract

Implant arthroplasty and arthrodesis of the first metatarsophalangeal joint are the main surgical treatment options for advanced hallux rigidus. The superiority of each modality continues to be debated, because there are few high-quality evidence-based studies, such as randomized controlled clinical trials or meta-analyses of comparative studies. The purpose of this study was to identify whether implant arthroplasty or arthrodesis is superior for the treatment of advanced hallux rigidus through meta-analysis of comparative studies. A comprehensive search of the MEDLINE, EMBASE, and Cochrane library databases was conducted. Only retrospective or prospective comparative studies were included in this meta-analysis. The literature search, data extraction, and quality assessment were conducted by 2 independent reviewers. The primary outcomes were clinical scores and patient satisfaction. The rate of reoperation and complication were also investigated. Seven comparative studies were included (2 prospective and 5 retrospective studies). There were no significant differences between the 2 groups in the American Orthopedic Foot and Ankle Society-Hallux Metatarsophalangeal Interphalangeal score, patient satisfaction rate, reoperation rate, or complication rate. The visual analogue scale for pain was significantly lower in the arthrodesis group than the implant arthroplasty group. This meta-analysis revealed that implant arthroplasty and arthrodesis of the first metatarsophalangeal joint led to similar clinical outcomes, patient satisfaction, reoperation rates, and complication rates, whereas pain was significantly lower in arthrodesis. Further studies of high methodological quality are required to confirm these conclusions.

Original languageEnglish
Pages (from-to)137-143
Number of pages7
JournalJournal of Foot and Ankle Surgery
Volume58
Issue number1
DOIs
Publication statusPublished - 2019 Jan 1

Fingerprint

Hallux Rigidus
Arthrodesis
Arthroplasty
Meta-Analysis
Patient Satisfaction
Reoperation
Metatarsophalangeal Joint
Hallux
Therapeutics
Pain Measurement
Ankle
MEDLINE
Libraries
Orthopedics
Foot
Randomized Controlled Trials
Retrospective Studies
Databases
Prospective Studies
Pain

Keywords

  • 3
  • arthrodesis
  • arthroplasty
  • first metatarsophalangeal joint
  • hallux rigidus
  • meta-analysis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Implant Arthroplasty versus Arthrodesis for the Treatment of Advanced Hallux Rigidus : A Meta-analysis of Comparative Studies. / Park, Young Hwan; Jung, Jae Hyun; Kang, Seong Hyun; Choi, Gi Won; Kim, Hak Jun.

In: Journal of Foot and Ankle Surgery, Vol. 58, No. 1, 01.01.2019, p. 137-143.

Research output: Contribution to journalReview article

@article{510fe7ef52c245dab41d07d2d0e00c1f,
title = "Implant Arthroplasty versus Arthrodesis for the Treatment of Advanced Hallux Rigidus: A Meta-analysis of Comparative Studies",
abstract = "Implant arthroplasty and arthrodesis of the first metatarsophalangeal joint are the main surgical treatment options for advanced hallux rigidus. The superiority of each modality continues to be debated, because there are few high-quality evidence-based studies, such as randomized controlled clinical trials or meta-analyses of comparative studies. The purpose of this study was to identify whether implant arthroplasty or arthrodesis is superior for the treatment of advanced hallux rigidus through meta-analysis of comparative studies. A comprehensive search of the MEDLINE, EMBASE, and Cochrane library databases was conducted. Only retrospective or prospective comparative studies were included in this meta-analysis. The literature search, data extraction, and quality assessment were conducted by 2 independent reviewers. The primary outcomes were clinical scores and patient satisfaction. The rate of reoperation and complication were also investigated. Seven comparative studies were included (2 prospective and 5 retrospective studies). There were no significant differences between the 2 groups in the American Orthopedic Foot and Ankle Society-Hallux Metatarsophalangeal Interphalangeal score, patient satisfaction rate, reoperation rate, or complication rate. The visual analogue scale for pain was significantly lower in the arthrodesis group than the implant arthroplasty group. This meta-analysis revealed that implant arthroplasty and arthrodesis of the first metatarsophalangeal joint led to similar clinical outcomes, patient satisfaction, reoperation rates, and complication rates, whereas pain was significantly lower in arthrodesis. Further studies of high methodological quality are required to confirm these conclusions.",
keywords = "3, arthrodesis, arthroplasty, first metatarsophalangeal joint, hallux rigidus, meta-analysis",
author = "Park, {Young Hwan} and Jung, {Jae Hyun} and Kang, {Seong Hyun} and Choi, {Gi Won} and Kim, {Hak Jun}",
year = "2019",
month = "1",
day = "1",
doi = "10.1053/j.jfas.2018.08.045",
language = "English",
volume = "58",
pages = "137--143",
journal = "Journal of Foot and Ankle Surgery",
issn = "1067-2516",
publisher = "Academic Press Inc.",
number = "1",

}

TY - JOUR

T1 - Implant Arthroplasty versus Arthrodesis for the Treatment of Advanced Hallux Rigidus

T2 - A Meta-analysis of Comparative Studies

AU - Park, Young Hwan

AU - Jung, Jae Hyun

AU - Kang, Seong Hyun

AU - Choi, Gi Won

AU - Kim, Hak Jun

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Implant arthroplasty and arthrodesis of the first metatarsophalangeal joint are the main surgical treatment options for advanced hallux rigidus. The superiority of each modality continues to be debated, because there are few high-quality evidence-based studies, such as randomized controlled clinical trials or meta-analyses of comparative studies. The purpose of this study was to identify whether implant arthroplasty or arthrodesis is superior for the treatment of advanced hallux rigidus through meta-analysis of comparative studies. A comprehensive search of the MEDLINE, EMBASE, and Cochrane library databases was conducted. Only retrospective or prospective comparative studies were included in this meta-analysis. The literature search, data extraction, and quality assessment were conducted by 2 independent reviewers. The primary outcomes were clinical scores and patient satisfaction. The rate of reoperation and complication were also investigated. Seven comparative studies were included (2 prospective and 5 retrospective studies). There were no significant differences between the 2 groups in the American Orthopedic Foot and Ankle Society-Hallux Metatarsophalangeal Interphalangeal score, patient satisfaction rate, reoperation rate, or complication rate. The visual analogue scale for pain was significantly lower in the arthrodesis group than the implant arthroplasty group. This meta-analysis revealed that implant arthroplasty and arthrodesis of the first metatarsophalangeal joint led to similar clinical outcomes, patient satisfaction, reoperation rates, and complication rates, whereas pain was significantly lower in arthrodesis. Further studies of high methodological quality are required to confirm these conclusions.

AB - Implant arthroplasty and arthrodesis of the first metatarsophalangeal joint are the main surgical treatment options for advanced hallux rigidus. The superiority of each modality continues to be debated, because there are few high-quality evidence-based studies, such as randomized controlled clinical trials or meta-analyses of comparative studies. The purpose of this study was to identify whether implant arthroplasty or arthrodesis is superior for the treatment of advanced hallux rigidus through meta-analysis of comparative studies. A comprehensive search of the MEDLINE, EMBASE, and Cochrane library databases was conducted. Only retrospective or prospective comparative studies were included in this meta-analysis. The literature search, data extraction, and quality assessment were conducted by 2 independent reviewers. The primary outcomes were clinical scores and patient satisfaction. The rate of reoperation and complication were also investigated. Seven comparative studies were included (2 prospective and 5 retrospective studies). There were no significant differences between the 2 groups in the American Orthopedic Foot and Ankle Society-Hallux Metatarsophalangeal Interphalangeal score, patient satisfaction rate, reoperation rate, or complication rate. The visual analogue scale for pain was significantly lower in the arthrodesis group than the implant arthroplasty group. This meta-analysis revealed that implant arthroplasty and arthrodesis of the first metatarsophalangeal joint led to similar clinical outcomes, patient satisfaction, reoperation rates, and complication rates, whereas pain was significantly lower in arthrodesis. Further studies of high methodological quality are required to confirm these conclusions.

KW - 3

KW - arthrodesis

KW - arthroplasty

KW - first metatarsophalangeal joint

KW - hallux rigidus

KW - meta-analysis

UR - http://www.scopus.com/inward/record.url?scp=85058792684&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85058792684&partnerID=8YFLogxK

U2 - 10.1053/j.jfas.2018.08.045

DO - 10.1053/j.jfas.2018.08.045

M3 - Review article

VL - 58

SP - 137

EP - 143

JO - Journal of Foot and Ankle Surgery

JF - Journal of Foot and Ankle Surgery

SN - 1067-2516

IS - 1

ER -