A 24-month follow-up after treatment of hallux rigidus with resection arthroplasty in combination with a resorbable polymer-based implant and platelet-rich plasma. Issue 5 (October 2018)

• Record Type: Journal Article
• Authors: Siclari, A.; Krueger, J.P.; Endres, M.; Boux, E.
• Is Part Of: Foot and ankle surgery. Volume 24:Issue 5(2018)
• Page Start: 389
• Page End: 393
• Publication Date: 2018-10
• Subjects: Hallux rigidus -- Polyglycolic acid -- Implant -- Defect cover -- Platelet-rich plasma -- Resection arthroplasty -- Metatarsophalangeal joint; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2017.04.007
• Languages: English
• ISSNs: 1268-7731

Abstract

Graphical abstract: Highlights: Introduction of a resorbable implant immersed with PRP for treatment of hallux rigidus. 2-year follow-up showed improved patient outcomes regarding pain, ROM and alignment. Augmentation of the MTP joint after resection arthroplasty with resorbable implants is safe. Abstract: Background: Aim of this study was to analyze the clinical outcome after treatment of hallux rigidus with implantation of a resorbable polymer-based implant immersed with autologous platelet-rich plasma (PRP). Methods: Forty-five patients with hallux rigidus were treated with three-stage resection arthroplasty and subsequent covering of the metatarsal head with a polyglycolic acid-hyaluronan implant immersed with autologous PRP. Patients were clinically assessed using the AOFAS rating scale preoperatively and at 12 and 24 month follow-up. Alignment and range of motion in the metatarsophalangeal joint was measured using a goniometer. Results: The AOFAS rating scale and ROM showed significant ( p < .01 ) improvement in all subcategories one and two years after surgery compared to the preoperative situation. Conclusions: Covering of the metatarsal head after resection arthroplasty with the PGA-hyaluronan implant immersed with autologous PRP is safe and leads to a notable improvement of the symptoms in patients with hallux rigidus.