Brewster Mark, McArthur John, Mauffrey Cyril, Lewis Andrew Charles, Hull Peter, Ramos James
Heart of England NHS Trust, West Midlands, UK.
J Foot Ankle Surg. 2010 Jan-Feb;49(1):37-42. doi: 10.1053/j.jfas.2009.08.009.
We report the functional results of a case series of Moje first metatarsophalangeal total joint replacements carried out between February 2001 and November 2006. All patients who underwent Moje arthroplasty under the care of a single surgeon were included; outcome scores and complications were recorded annually. A total of 32 joints in 29 consecutive patients were followed for a mean duration of 34 (range 6 to 74) months, and the mean patient age at the time of operation was 56 (range 38 to 79) years. Hallux rigidus was the primary diagnosis in 28 (87.5%) of the cases. The mean American Orthopaedic Foot & Ankle Society Hallux-Metatarsophalangeal-Interphalangeal score at final follow-up was 74/100 (range 9 to 100), with 13 (40.63%) joints rated good to excellent. Two (6.25%) joints were revised to arthrodesis at a mean of 52 (range 41 to 63) months following the arthroplasty procedure, and the overall prevalence of postoperative complications was 6 (18.75%). Based on these results, we concluded that first MTPJ total joint replacement with the Moje device remains promising, but still has room for improvement before the results match those obtained with larger joint (knee, hip) arthroplasty.
我们报告了2001年2月至2006年11月间进行的一系列Moje第一跖趾全关节置换病例的功能结果。纳入了在单一外科医生照料下接受Moje关节成形术的所有患者；每年记录结果评分和并发症情况。连续29例患者共32个关节接受了平均34（范围6至74）个月的随访，手术时患者的平均年龄为56（范围38至79）岁。28例（87.5%）病例的主要诊断为僵硬性拇趾。末次随访时美国矫形足踝协会拇趾-跖趾-趾间关节评分的平均值为74/100（范围9至100），13个（40.63%）关节评定为良好至优秀。2个（6.25%）关节在关节成形术后平均52（范围41至63）个月时翻修为关节融合术，术后并发症的总体发生率为6例（18.75%）。基于这些结果，我们得出结论，使用Moje装置进行第一跖趾关节全关节置换仍有前景，但在结果与更大关节（膝、髋）置换所获结果相匹配之前仍有改进空间。
