Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Duke University, 200 Trent Drive, Durham, NC 27710, USA.
Division of Foot and Ankle Surgery, Department of Orthopaedic Surgery, Duke University, 200 Trent Drive, Durham, NC 27710, USA.
Foot Ankle Clin. 2024 Sep;29(3):443-454. doi: 10.1016/j.fcl.2023.10.004. Epub 2023 Nov 8.
Interpositional arthroplasty for the treatment of hallux rigidus (HR) involves resection of the diseased joint surface and placement of spacer material within the joint to preserve length at the metatarsophalangeal joint while still allowing for range of motion. The majority of studies available in the literature have focused on capsular interpositional arthroplasty, revealing generally positive outcomes. Other forms of interpositional arthroplasty are less supported by long-term follow-up and large sample sizes. Moreover, there exists substantial heterogeneity in the studies evaluating interpositional arthroplasty. Despite the limitations of the current data, interpositional arthroplasty seems to be a viable treatment option for HR.
间置关节成形术治疗拇僵硬(HR)涉及切除患病关节表面,并在关节内放置间隔材料,以保持跖趾关节的长度,同时仍允许运动范围。文献中大多数可用的研究都集中在囊内间置关节成形术上,结果普遍为阳性。其他形式的间置关节成形术则缺乏长期随访和大样本量的支持。此外,评估间置关节成形术的研究存在很大的异质性。尽管目前的数据存在局限性,但间置关节成形术似乎是治疗 HR 的一种可行选择。