Salvage arthrodesis for failed first metatarsophalangeal joint arthroplasty: A network meta-analysis |
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| Affiliation: | 1. Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei St 3, Singapore 529889, Singapore;2. Singapore Clinical Research Institute, 31 Biopolis Way, Singapore 138669, Singapore;3. Clinical Trials & Research Unit, Changi General Hospital, 2 Simei St 3, Singapore 529889, Singapore;1. Department of Orthopedic Surgery, Myongji Hospital, Hanyang University College of Medicine, 697-24 Hwajung-dong, Deokyang-gu, Goyang-si, Gyeonggi-do 10475, Republic of Korea;2. Department of Anesthesiology and Pain Medicine, Myongji Hospital, Hanyang University College of Medicine, 697-24 Hwajung-dong, Deokyang-gu, Goyang-si, Gyeonggi-do 10475, Republic of Korea;1. Clinique de l''Union, Ankle and Foot Surgery Center, Saint-Jean, France;2. Clinique Megival, Saint Aubin sur Scie, France;3. CHP Saint Gregoire, Saint-Grégoire, France;4. Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, United Kingdom;5. Department of Public Health, “Federico II” Naples University, Orthopaedic and Traumatology Unit, Napoli, Italy;6. Institut de Formation en Masso-Kinésithérapie "Saint-Michel", Paris, France;7. Maison de Santé Protestante de Bordeaux Bagatelle, Talence, France;8. Centre du Pied, Marseille, France;1. Center of Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany;2. Department of Orthopedics and Trauma Surgery, Albert-Ludwigs University of Freiburg, Medical Center, Freiburg, Germany;3. Department of Biosciences, University of Oslo, PB 1066 Blindern, 0316 Oslo, Norway;1. Graduate School of Health Science, Sapporo Medical University, Sapporo, Japan;2. Second Division of Physical Therapy, School of Health Sciences, Sapporo Medical University, Sapporo, Japan;3. Department of Anatomy, School of Medicine, Sapporo Medical University, Sapporo, Japan;1. Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Ankara, Turkey;2. Pamukkale University, School of Physical Therapy and Rehabilitation, Denizli, Turkey |
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| Abstract: | BackgroundWe aim to provide an evidence-based literature review of salvage arthrodesis for failed first metatarsophalangeal joint arthroplasty with a network meta-analysis.MethodsA search of PubMed, Embase and Cochrane databases was conducted in December 2016 which identified 12 relevant articles out of 340 articles assessing the efficacy of salvage arthrodesis for failed joint arthroplasty of the first metatarsophalangeal joint. The 12 studies were assigned a level of evidence (I–V) and interventions were graded a level of recommendation (A–C, I) in support of or against the treatment modality.ResultsThere is fair evidence (grade B) to support salvage arthrodesis with structural bone graft. There is poor evidence (grade C) for salvage arthrodesis without bone graft. There was no good evidence (grade A) to recommend either intervention. Meta-analysis showed that salvage arthrodesis resulted in improved functional outcome over time.ConclusionsSalvage arthrodesis showed good bone union rates and patient satisfaction.Level of Clinical Evidence: III – Systematic Review of Level III studies. |
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| Keywords: | Hallux rigidus Metatarsophalangeal Arthroplasty Salvage Arthrodesis Review |
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