First metatarsophalangeal joint replacement as an alternative to the Schede–Brandes resection artroplasty in the complex treatment of hallux rigidus
Abstract
In the case of Hallux Rigidus, not only the high incidence of the disease and severity of impaired foot anatomy and function, but also the existing imperfect treatment techniques cause dissatisfaction among patients and physicians. Therefore, the search for the optimal treatment for the disease continues. At present, main treatment modes include resection artroplasty (Schede-Brandes procedure) and the first metatarsophalangeal joint fusion; the first metatarsophalangeal joint replacement holds a special place among treatment techniques. In the control and study groups, the outcomes of resection artroplasty and the first metatarsophalangeal joint replacement using a ceramic endoprosthesis were compared to assess the treatment effectiveness of these techniques. The joint replacement technique showed advantages in terms of better functional outcomes, but was followed by a significant number of complications.
Key words
Pakhomov I.A. – doctor of medical sciences, leading researcher, head of department for foot and ankle-joint surgery, e-mail: pahomovigor@inbox.ru
Kuznetsov V.V. – traumatologist, e-mail: vkuznecovniito@gmail.com
Repin A.V. – traumatologist
Korochkin S.B. – candidate of medical sciences, traumatologist
Prokhorenko V.M. – doctor of medical sciences, professor, deputy director on scientific-clinical work, e-mail: VProhorenko@niito.ru
Sadovoy M.A. – doctor of medical sciences, professor, director, e-mail: niito@niito.ru
