Our Summary

This research paper is about a common foot surgery for a condition called “hallux rigidus” - a type of arthritis at the base of the big toe. The researchers were looking into different techniques used to fix the joint in place during the surgery and how successful they were.

They searched through several electronic databases to find studies done on adults in the UK who had this surgery. They didn’t include studies that used older techniques or that were mostly about patients with other health conditions like diabetes or rheumatoid arthritis.

Their research included seven studies, covering 277 feet. They found that the overall success rate of the surgery was about 96%, with the joint fully fusing in an average of 83.5 days.

They also discovered that the type of fixation used during surgery made a difference. Staples had the highest success rate (98.2%), followed by plates (95.2%), and screws (94.9%). However, it took slightly longer for the joint to fuse with plates and staples compared to screws.

Despite the high success rate of staples, the researchers concluded that plates are actually the best option because they result in fewer complications and better overall results. They also recommend using certain tools to measure how well patients are doing after their surgery.

FAQs

  1. What is the overall success rate of joint fusion surgery for hallux rigidus according to the research?
  2. Does the type of fixation used during the surgery affect the success rate and recovery time?
  3. Why did the researchers conclude that plates are the best option for fixation during the surgery despite the high success rate of staples?

Doctor’s Tip

One helpful tip a doctor might tell a patient about joint fusion is to follow their post-operative care instructions carefully. This may include keeping weight off the affected joint, doing physical therapy exercises as recommended, and attending follow-up appointments with their healthcare provider. Following these instructions can help ensure a successful outcome and a quicker recovery.

Suitable For

Patients who are typically recommended joint fusion for hallux rigidus are those who have severe pain and stiffness at the base of the big toe, often due to arthritis. These patients may have tried conservative treatments such as orthotics, physical therapy, and medication without success. They may also have difficulty walking or performing daily activities due to the pain and limited range of motion in their toe joint.

Additionally, patients who are generally healthy and do not have other underlying health conditions that may complicate surgery are good candidates for joint fusion. It is important for patients to have realistic expectations about the surgery and be committed to following post-operative care instructions to ensure a successful outcome.

Overall, joint fusion may be recommended for patients with hallux rigidus who have exhausted conservative treatment options and continue to experience significant pain and limitations in their daily activities. Consulting with a foot and ankle specialist is important to determine if joint fusion is the best treatment option for each individual patient.

Timeline

  1. Patient experiences pain, stiffness, and limited range of motion in the big toe joint due to hallux rigidus.

  2. Patient consults with a doctor who recommends joint fusion surgery as a treatment option.

  3. Patient undergoes pre-operative evaluations and tests to ensure they are a suitable candidate for surgery.

  4. Patient undergoes joint fusion surgery, where the surgeon removes damaged cartilage and fuses the bones together using screws, plates, or staples.

  5. Patient experiences post-operative pain and swelling, and begins physical therapy and rehabilitation to regain strength and range of motion in the foot.

  6. Patient follows up with the surgeon for regular check-ups to monitor the healing process and ensure the joint is fusing properly.

  7. Patient gradually resumes normal activities and experiences improved function and reduced pain in the affected joint.

  8. Patient reaches full fusion of the joint in an average of 83.5 days and achieves long-term relief from hallux rigidus symptoms.

What to Ask Your Doctor

  1. What is the success rate of joint fusion surgery for hallux rigidus?
  2. How long does it typically take for the joint to fully fuse after surgery?
  3. What type of fixation method will be used during the surgery (staples, plates, screws)?
  4. What are the potential complications associated with each fixation method?
  5. How does the choice of fixation method impact the overall results and success rate of the surgery?
  6. Are there any specific tools or measurements that will be used to track my progress after surgery?
  7. What is the expected recovery time and rehabilitation process after joint fusion surgery?
  8. Are there any lifestyle changes or modifications I should make to support the healing process?
  9. What are the potential risks and benefits of undergoing joint fusion surgery for hallux rigidus?
  10. Are there any alternative treatment options available for my condition?

Reference

Authors: Kang YS, Bridgen A. Journal: J Foot Ankle Res. 2022 Apr 26;15(1):30. doi: 10.1186/s13047-022-00540-9. PMID: 35468802