Johansson J E, Barrington T W
Foot Ankle. 1984 Mar-Apr;4(5):244-8. doi: 10.1177/107110078400400505.
The reliability and effectiveness of the treatment of hallux rigidus and symptomatic arthritis of the first metatarsophalangeal joint by the technique of cone arthrodesis are discussed. The authors reviewed the long-term results of cone arthrodesis in 51 patients with 60 operated feet. The average age was 55 years (range, 28 to 75 years) and the average length of follow-up was 39 months (range, 1 to 12 years). On questioning the patients regarding function, cosmesis, and pain, 41 of 51 patients were happy, eight of 51 patients were satisfied, and two of 51 were unhappy with their feet. No patient complained of persistent or recurrent hallux valgus deformity. Radiologically and clinically 58 of 60 first metatarsophalangeal joints were solidly fused. Two patients had a fibrous ankylosis which was functional and painless. Function with respect to gait and ability to walk on tiptoe and run was normal in all patients. In summary, the authors feel that this procedure is a reliable, effective treatment of painful arthritis of this joint.
探讨了采用锥形关节融合术治疗僵硬性拇趾及第一跖趾关节症状性关节炎的可靠性和有效性。作者回顾了51例患者60只接受手术足部的锥形关节融合术长期结果。平均年龄为55岁（范围28至75岁），平均随访时间为39个月（范围1至12年）。询问患者关于功能、美观及疼痛方面的情况，51例患者中41例满意，8例满足，2例对足部情况不满意。无患者抱怨存在持续性或复发性拇外翻畸形。影像学及临床检查显示60个第一跖趾关节中有58个牢固融合。2例患者存在纤维性关节强硬，但功能正常且无痛。所有患者在步态、踮脚尖行走及跑步能力方面的功能均正常。总之，作者认为该手术是治疗该关节疼痛性关节炎的一种可靠、有效的方法。
