Hallux rigidus (osteoarthritis of the first metatarsophalgeal joint) Musculoskeletal Diseases Primary arthrosis of other joints
Conditions
Interventions
1. Arthrodesis of the first metatarsophalgeal joint (active control group)
2. Proximal phalanx hemiarthroplasty (AnaToemic prosthesis, Arthrex Inc)
Participants in bot
Sponsors
East Lancashire Hospitals NHS Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Coughlin grade 3-4 hallux rigidus with near constant pain and stiffness at least at extremes of passive motion +/- mid range of motion pain, in whom conservative treatment measures have failed 2. Able to give informed consent 3. Male or female 4. Aged 45 years or above
Exclusion criteria
Exclusion criteria: 1. Inflammatory Arthritis 2. Active Infection 3. Severe vascular or neurological deficit affecting the lower limbs 4. Hallux Valgus angle greater than 15 degrees 5. Inadequate or poor quality bone stock 6. Any previous surgery to the 1st MPTJ other than a cheilectomy 7. Significant and symptomatic interphalangeal joint or sesamoid-metatarsal osteoarthritis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Manchester - Oxford Foot Questionnaire (MOX-FQ) - measured at baseline then at 6 weeks, 3 months and 12 months post-operatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. EuroQol (EQ-5D) 2. Pain visual analogue scale (0=no pain, 10=unbearable pain) 3. American Orthopaedic Foot & Ankle Society Hallux score (AOFAS-Hallux) 4. Hospital length of stay 5. Return to work 6. Complication rate 7. Re-operation rate (failed procedure, removal of metalwork) | — |
Countries
United Kingdom
Outcome results
None listed