Youngswick osteotomy for treatment of moderate hallux rigidus: Thirteen years without arthrodesis |
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| Institution: | 1. Institute of Orthopaedics, “Dr. Jaime Slullitel” San Luis 2534, Rosario, Santa Fe, Argentina;2. IRCCS Istituto Ortopedico Galeazzi, Via Galeazzi 4, Milan, 20161, Italy;3. Humanitas San Pio X, via Francesco Nava, 31, Milan, 20159, Italy;1. Royal Columbian Hospital, New Westminster, British Columbia, Canada;2. Department of Orthopaedics, University of British Columbia, Canada;1. Division of Plastic Surgery and Hand Surgery, University Hospital Zurich, Rämistrasse 100, 8091 Zürich, Switzerland;2. Division Foot and Ankle Surgery, Orthopaedics Department, University Hospital Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland;1. Division of Orthopaedic Trauma, Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan;2. Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan;3. Department of Orthopaedics, School of Medicine, National Yang-Ming University, Taipei, Taiwan;4. Division of Medical Imaging for Health Management, Cheng-Hsin General Hospital, Taipei, Taiwan;5. Department of Statistics, National Taipei University, Taipei, Taiwan;6. Department of Orthopedic Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan;1. Clinica Ortopedica – IRCCS Ospedale Policlinico San Martino, Università di Genova, Largo Rosanna Benzi, 10, 16132, Genoa, GE, Italy;2. Department of Orthopedics and Trauma Surgery, University of Verona, Italy |
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| Abstract: | PurposeThe purpose of this study was to evaluate the need for first metatarsophalangeal joint (MTPJ) arthrodesis as a measure of the Youngswick osteotomy survival, or any other secondary procedures in the long term follow up in patients with stage II and III hallux rigidus.MethodsWe retrospectively evaluated 61 patients with stage II and III hallux rigidus who had undergone Youngswick osteotomy and analyzed their outcomes in the long term using first metatarsophalangeal arthrodesis as an end point. The candidates for inclusion underwent clinical and radiographic evaluation, including the Foot and Ankle Outcome Score (FAOS).ResultsMean follow-up time was 54.8 months. All patients had improved their FAOS, with all achieving postoperative scores >75 points at the final follow up (P < 0.05). Although 49 % (P < 0.05) of the patients depicted worsening of the radiological aspect of the MTPJ, over the long time, no patient needed a first MTPJ arthrodesis.ConclusionOur results show satisfying long-term outcomes with regard to function, pain relief, and patient satisfaction of the Youngswick osteotomy in grade II as well as grade III hallux rigidus that sustained over the follow up period; even in patients followed up for over 13 years.Level of evidenceIII. |
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| Keywords: | Hallux rigidus Decompressive osteotomy Youngswick osteotomy |
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