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  • Title: First metatarsophalangeal arthrodesis for treatment of hallux rigidus: a retrospective study.
    Author: Lombardi CM, Silhanek AD, Connolly FG, Dennis LN, Keslonsky AJ.
    Journal: J Foot Ankle Surg; 2001; 40(3):137-43. PubMed ID: 11417595.
    Abstract:
    This was a retrospective study of 17 patients (21 operated feet) treated with first metatarsophalangeal arthrodesis for hallux rigidus of varying severity levels. Patients were evaluated according to a modified American Orthopedic Foot and Ankle Society hallux metatarsophalangeal-interphalangeal rating scale containing 60 subjective and 30 objective points. At an average follow-up time of 28.1 months, patients demonstrated a mean subjective improvement from 21.2 to 47.8/60, with mean total scores improving from 39.1 to 75.6/90. A comparison of pre- and postoperative radiographic angular measurements demonstrated a significant improvement (p = .001) in intermetatarsal, first metatarsal declination, and lateral talo-first metatarsal angles. Significant positive correlations were found between subjective results and patient age (p = .05) and the preoperative lateral talo-first metatarsal angles (p = .001).
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