The Rate of Subsequent Hallux Interphalangeal Joint Fusion after First Metatarsophalangeal Fusion: A Large-Scale National Database Study Article Swipe
Eslam Alkaramany
,
Solangel Rodriguez-Materon
,
Nacime Salomão Barbachan Mansur
,
Amos Z. Dai
,
Gregory P. Guyton
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1177/2473011424s00548
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1177/2473011424s00548
Category: Midfoot/Forefoot; Other Introduction/Purpose: The development of adjacent joint arthritis following arthrodesis is a universal concern in orthopaedic surgery. Arthrodesis of the hallux metatarsophalangeal (MTP) joint is an effective and commonly performed treatment for first MTP arthritis and other conditions. Despite its widespread use, the risk of symptomatic degeneration at the interphalangeal joint remains undetermined and is a common question from patients considering the procedure. This study investigated the rate of subsequent hallux interphalangeal joint (IPJ) fusion following arthrodesis of the first MTP joint using a large commercial database. Methods: Patients who underwent hallux interphalangeal arthrodesis after hallux metatarsophalangeal arthrodesis were identified from a large national commercial insurance database using CPT code identification (PearlDiver). The Kaplan-Meier curve for survivorship free of subsequent interphalangeal fusion was generated covering 10 years from the index operation. Results: Of 87,890 patients who had first metatarsophalangeal arthrodesis, 808 patients (0.91%) subsequently underwent subsequent hallux interphalangeal joint arthrodesis within 10 years. Because CPT codes were reported without laterality, it is possible that a small subset of patients may have undergone a subsequent contralateral IP fusion, and therefore this result should be regarded as an upper limit of the possible rate. Conclusion: This is the first large-scale data to address the common patient concern of subsequent degeneration of the interphalangeal joint following metatarsophalangeal fusion. The rate of subsequent fusion is less than 1%, a result that highlights the durability of the clinical result of the first MTP fusion and should reassure patients and surgeons considering the procedure relative to motion-sparing alternatives.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/2473011424s00548
- OA Status
- gold
- Related Works
- 10
- OpenAlex ID
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All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4405886759Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/2473011424s00548Digital Object Identifier
- Title
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The Rate of Subsequent Hallux Interphalangeal Joint Fusion after First Metatarsophalangeal Fusion: A Large-Scale National Database StudyWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-10-01Full publication date if available
- Authors
-
Eslam Alkaramany, Solangel Rodriguez-Materon, Nacime Salomão Barbachan Mansur, Amos Z. Dai, Gregory P. GuytonList of authors in order
- Landing page
-
https://doi.org/10.1177/2473011424s00548Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1177/2473011424s00548Direct OA link when available
- Concepts
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Medicine, Interphalangeal Joint, Joint (building), Hallux rigidus, Fusion, Metatarsophalangeal joints, Scale (ratio), Database, Orthodontics, Arthrodesis, Surgery, Computer science, Cartography, Engineering, Structural engineering, Linguistics, Geography, Philosophy, Pathology, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.1%, | 225 |
| abstract_inverted_index.808 | 142 |
| abstract_inverted_index.CPT | 110, 156 |
| abstract_inverted_index.MTP | 35, 82, 239 |
| abstract_inverted_index.The | 4, 114, 217 |
| abstract_inverted_index.and | 29, 37, 55, 179, 241, 245 |
| abstract_inverted_index.for | 33, 117 |
| abstract_inverted_index.had | 138 |
| abstract_inverted_index.its | 41 |
| abstract_inverted_index.may | 171 |
| abstract_inverted_index.the | 21, 44, 50, 63, 68, 80, 130, 191, 197, 203, 211, 230, 233, 237, 248 |
| abstract_inverted_index.was | 124 |
| abstract_inverted_index.who | 91, 137 |
| abstract_inverted_index.This | 65, 195 |
| abstract_inverted_index.code | 111 |
| abstract_inverted_index.data | 200 |
| abstract_inverted_index.free | 119 |
| abstract_inverted_index.from | 60, 102, 129 |
| abstract_inverted_index.have | 172 |
| abstract_inverted_index.less | 223 |
| abstract_inverted_index.rate | 69, 218 |
| abstract_inverted_index.risk | 45 |
| abstract_inverted_index.than | 224 |
| abstract_inverted_index.that | 165, 228 |
| abstract_inverted_index.this | 181 |
| abstract_inverted_index.use, | 43 |
| abstract_inverted_index.were | 100, 158 |
| abstract_inverted_index.(IPJ) | 75 |
| abstract_inverted_index.(MTP) | 24 |
| abstract_inverted_index.Other | 2 |
| abstract_inverted_index.after | 96 |
| abstract_inverted_index.codes | 157 |
| abstract_inverted_index.curve | 116 |
| abstract_inverted_index.first | 34, 81, 139, 198, 238 |
| abstract_inverted_index.index | 131 |
| abstract_inverted_index.joint | 8, 25, 52, 74, 83, 150, 213 |
| abstract_inverted_index.large | 86, 104 |
| abstract_inverted_index.limit | 189 |
| abstract_inverted_index.other | 38 |
| abstract_inverted_index.rate. | 193 |
| abstract_inverted_index.small | 167 |
| abstract_inverted_index.study | 66 |
| abstract_inverted_index.upper | 188 |
| abstract_inverted_index.using | 84, 109 |
| abstract_inverted_index.years | 128 |
| abstract_inverted_index.87,890 | 135 |
| abstract_inverted_index.common | 58, 204 |
| abstract_inverted_index.fusion | 76, 123, 221, 240 |
| abstract_inverted_index.hallux | 22, 72, 93, 97, 148 |
| abstract_inverted_index.result | 182, 227, 235 |
| abstract_inverted_index.should | 183, 242 |
| abstract_inverted_index.subset | 168 |
| abstract_inverted_index.within | 152 |
| abstract_inverted_index.years. | 154 |
| abstract_inverted_index.(0.91%) | 144 |
| abstract_inverted_index.Because | 155 |
| abstract_inverted_index.Despite | 40 |
| abstract_inverted_index.address | 202 |
| abstract_inverted_index.concern | 15, 206 |
| abstract_inverted_index.fusion, | 178 |
| abstract_inverted_index.fusion. | 216 |
| abstract_inverted_index.patient | 205 |
| abstract_inverted_index.remains | 53 |
| abstract_inverted_index.without | 160 |
| abstract_inverted_index.Methods: | 89 |
| abstract_inverted_index.Patients | 90 |
| abstract_inverted_index.Results: | 133 |
| abstract_inverted_index.adjacent | 7 |
| abstract_inverted_index.clinical | 234 |
| abstract_inverted_index.commonly | 30 |
| abstract_inverted_index.covering | 126 |
| abstract_inverted_index.database | 108 |
| abstract_inverted_index.national | 105 |
| abstract_inverted_index.patients | 61, 136, 143, 170, 244 |
| abstract_inverted_index.possible | 164, 192 |
| abstract_inverted_index.question | 59 |
| abstract_inverted_index.reassure | 243 |
| abstract_inverted_index.regarded | 185 |
| abstract_inverted_index.relative | 250 |
| abstract_inverted_index.reported | 159 |
| abstract_inverted_index.surgeons | 246 |
| abstract_inverted_index.surgery. | 18 |
| abstract_inverted_index.Category: | 0 |
| abstract_inverted_index.arthritis | 9, 36 |
| abstract_inverted_index.database. | 88 |
| abstract_inverted_index.effective | 28 |
| abstract_inverted_index.following | 10, 77, 214 |
| abstract_inverted_index.generated | 125 |
| abstract_inverted_index.insurance | 107 |
| abstract_inverted_index.performed | 31 |
| abstract_inverted_index.procedure | 249 |
| abstract_inverted_index.therefore | 180 |
| abstract_inverted_index.treatment | 32 |
| abstract_inverted_index.undergone | 173 |
| abstract_inverted_index.underwent | 92, 146 |
| abstract_inverted_index.universal | 14 |
| abstract_inverted_index.commercial | 87, 106 |
| abstract_inverted_index.durability | 231 |
| abstract_inverted_index.highlights | 229 |
| abstract_inverted_index.identified | 101 |
| abstract_inverted_index.operation. | 132 |
| abstract_inverted_index.procedure. | 64 |
| abstract_inverted_index.subsequent | 71, 121, 147, 175, 208, 220 |
| abstract_inverted_index.widespread | 42 |
| abstract_inverted_index.Arthrodesis | 19 |
| abstract_inverted_index.Conclusion: | 194 |
| abstract_inverted_index.arthrodesis | 11, 78, 95, 99, 151 |
| abstract_inverted_index.conditions. | 39 |
| abstract_inverted_index.considering | 62, 247 |
| abstract_inverted_index.development | 5 |
| abstract_inverted_index.large-scale | 199 |
| abstract_inverted_index.laterality, | 161 |
| abstract_inverted_index.orthopaedic | 17 |
| abstract_inverted_index.symptomatic | 47 |
| abstract_inverted_index.Kaplan-Meier | 115 |
| abstract_inverted_index.arthrodesis, | 141 |
| abstract_inverted_index.degeneration | 48, 209 |
| abstract_inverted_index.investigated | 67 |
| abstract_inverted_index.subsequently | 145 |
| abstract_inverted_index.survivorship | 118 |
| abstract_inverted_index.undetermined | 54 |
| abstract_inverted_index.(PearlDiver). | 113 |
| abstract_inverted_index.alternatives. | 253 |
| abstract_inverted_index.contralateral | 176 |
| abstract_inverted_index.identification | 112 |
| abstract_inverted_index.motion-sparing | 252 |
| abstract_inverted_index.interphalangeal | 51, 73, 94, 122, 149, 212 |
| abstract_inverted_index.Midfoot/Forefoot; | 1 |
| abstract_inverted_index.metatarsophalangeal | 23, 98, 140, 215 |
| abstract_inverted_index.Introduction/Purpose: | 3 |
| cited_by_percentile_year | |
| countries_distinct_count | 0 |
| institutions_distinct_count | 5 |
| citation_normalized_percentile.value | 0.38787554 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |