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. 2017 Apr 27;12(1):68.
doi: 10.1186/s13018-017-0562-7.

Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

Ersin Kuyucu  1 , Harun Mutlu  2 , Serhat Mutlu  3 , Baris Gülenç  4 , Mehmet Erdil  4
Affiliations

Arthroscopic treatment of focal osteochondral lesions of the first metatarsophalangeal joint

Ersin Kuyucu et al. J Orthop Surg Res. .

Erratum in

Abstract

Background: Although arthroscopic surgical treatment of the first metatarsophalangeal (MTP) joint involves painful sesamoid excision, synovectomy, debridement, and partial cheilectomy, no gold standard treatment technique has been defined in the literature for hallux rigidus and focal osteochondral lesions. This study aimed to assess the arthroscopic treatment for early grade focal osteochondral lesions of the first MTP joint and to determine the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in a group of patients who failed conservative treatment.

Methods: This prospective study included 14 patients with hallux rigidus and focal osteochondral lesions of the first MTP joint who underwent surgery in 2014 and were followed on a regular basis thereafter.

Results: The patients had mean preoperative VPS (visual pain score) and AOFAS (American Orthopedic Foot and ankle Society)-Hallux scores of 8.14 ± 0.86 SD and 48.64 ± 4.27, respectively; the corresponding postoperative values of both scores were 1.86 ± 0.66 SD and 87.00 ± 3.70. Both VPS and AOFAS-Hallux scores changed significantly.

Discussion: In this prospective study, we explored the impact of arthroscopic microhole drill surgery on foot function and activities of daily living in patients with focal osteochondral lesions of the first MTP joint. Our results showed significant improvements in VPS and AOFAS scores with this treatment.

Conclusions: An arthroscopic microhole drill technique can be used with impressive functional scores and without any complications in patients who failed conservative therapy for hallux rigidus with focal chondral injury.

Keywords: Arthroscopy; Hallux rigidus; Metatarsophalangeal joint.

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Figures

Fig. 1
Fig. 1
a First view of the MTP joint by the 30° scope. Blue arrow is the metatarsal head. Red arrow is the proximal phalangeal joint surface. b Synovectomy and debridement of the joint by the shaver
Fig. 2
Fig. 2
a Curettage of the chondral lesion. b Microhole drill of the chondral lesion
Fig. 3
Fig. 3
a Chondral surface after the microhole drill. b Migration of the blood from the tunnels
Fig. 4
Fig. 4
a Chondral defect. b Chondral surface after the microhole drill. c Migration of the blood from the tunnels
Fig. 5
Fig. 5
MRI of the 39-year-old man right foot, sagittal and axial view of the MTP joint
See this image and copyright information in PMC

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References

    1. Lucas DE, Hunt KJ. Hallux rigidus: relevant anatomy and pathophysiology. Foot Ankle Clin. 2015;20(3):381–9. doi: 10.1016/j.fcl.2015.04.001. - DOI - PubMed
    1. Watanabe M. Selfoc-Arthroscope (Watanabe no. 24 arthroscope). Monograph. Tokyo: Teishin Hospital; 1972. pp. 46–53.
    1. Bartlett DH. Arthroscopic management of osteochondritis dissecans of the firstmetatarsal head. Arthroscopy. 1988;4(1):51–4. doi: 10.1016/S0749-8063(88)80014-8. - DOI - PubMed
    1. Siclari A, Piras M. Hallux metatarsophalangeal arthroscopy: indications and techniques. Foot Ankle Clin. 2015;20(1):109–22. doi: 10.1016/j.fcl.2014.10.012. - DOI - PubMed
    1. Coughlin MJ, Shurnas PS. Hallux rigidus. Grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003;85-A(11):2072–88. doi: 10.2106/00004623-200311000-00003. - DOI - PubMed

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