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Related Experiment Videos

Surgical management for intractable metatarsalgia

R A Mann1, L B Chou

  • 1University of California, San Francisco, San Leandro, USA.

Foot & Ankle International
|June 1, 1995
PubMed
Summary
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Surgical repair for severe metatarsalgia and forefoot deformities yielded excellent results. Procedures like first metatarsophalangeal joint arthrodesis significantly reduced pain and improved function for most patients.

Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine

Background:

  • Intractable metatarsalgia and forefoot deformities significantly impair quality of life.
  • Previous forefoot surgery may fail, leading to persistent pain and functional limitations.

Purpose of the Study:

  • To evaluate the efficacy of arthrodesis of the first metatarsophalangeal joint and excisional arthroplasty of the lesser metatarsophalangeal joints.
  • To assess outcomes in patients with severe metatarsalgia secondary to failed forefoot surgery.

Main Methods:

  • Retrospective review of 18 feet (15 patients) undergoing surgical repair.
  • Procedures included first metatarsophalangeal joint arthrodesis and lesser metatarsophalangeal joint excisional arthroplasty.
  • Average follow-up of 5.2 years.

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Main Results:

  • 83% of patients achieved good to excellent outcomes.
  • Preoperative moderate to severe pain was reduced to none to mild.
  • Severely limited function improved to virtually unlimited.
  • First metatarsophalangeal joint fusion rate was 94%.

Conclusions:

  • Surgical intervention is a useful salvage procedure for severe metatarsalgia.
  • High patient satisfaction (87%) indicates a favorable prognosis.
  • The combined surgical approach effectively addresses complex forefoot issues.