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Related Experiment Videos

Revision rates in forefoot surgery

H U Cameron, D M Fedorkow

    Foot & Ankle
    |July 1, 1982
    PubMed
    Summary

    This study analyzed 1003 forefoot operations in 706 patients to determine revision rates for common procedures. Older forefoot surgeries, like proximal interphalangeal joint fusion, showed high failure rates, questioning their continued recommendation.

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    Area of Science:

    • Orthopedic Surgery
    • Podiatric Surgery

    Background:

    • Forefoot procedures are common in orthopedic and podiatric surgery.
    • Assessing the long-term success and failure rates of these procedures is crucial for clinical decision-making.

    Purpose of the Study:

    • To determine the failure and reoperation rates for several common forefoot surgical procedures.
    • To evaluate the efficacy of established forefoot operations based on revision data.

    Main Methods:

    • Retrospective review of medical records for 706 patients who underwent 1003 forefoot operations.
    • Analysis of revision rates for specific procedures including Keller procedure, metatarsal osteotomies, proximal phalangectomies, and proximal interphalangeal joint fusion.

    Main Results:

    • The Keller procedure had a 2.26% revision rate without an interposition implant.
    • Metatarsal osteotomies showed a 2.7% revision rate, primarily due to nonunion.
    • Proximal phalangectomies had a 3.3% revision rate (1.9% distal, 4.4% proximal), while proximal interphalangeal joint fusion had a high failure rate of 17.8%.

    Conclusions:

    • The success rates of common forefoot procedures vary significantly.
    • Older surgical techniques, such as proximal interphalangeal joint fusion, may have high failure rates and should be critically evaluated.
    • Procedure "antiquity" is not a reliable indicator of its current effectiveness or recommendation status.

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