CME OnDemand: 2022 AOFAS Annual Meeting-Clinical Outcomes of Synthetic Cartilage Implant for Second Metatarsophalangeal Joint Arthritis

Clinical Outcomes of Synthetic Cartilage Implant for Second Metatarsophalangeal Joint Arthritis

Pdf Summary

This document discusses the clinical outcomes of using a synthetic cartilage implant (SCI) for second metatarsophalangeal joint (MTPJ) arthritis. Second MTPJ arthritis can be caused by various conditions like inflammation, osteoarthritis, and Freiberg's disease. The SCI, made of polyvinyl alcohol (PVA), has similar properties to native cartilage and provides pain relief while preserving motion in the joint. However, there is limited data on the efficacy of SCI resurfacing for the lesser toes.<br /><br />The study aimed to report on the clinical outcomes of using SCI resurfacing in patients with second MTPJ arthritis. Electronic health records of patients who underwent SCI treatment by a single surgeon were analyzed. Patient demographics, such as BMI, age, sex, medical comorbidities, and past surgical history, were recorded, along with follow-up periods. Preoperative and postoperative range of motion, pain scores, and x-ray imaging were compared.<br /><br />The results of the study are not mentioned in the summarized text, but the conclusion states that SCI resurfacing can be a viable treatment option for second MTPJ arthritis. However, the document suggests that future prospective studies should be conducted to expand the limited clinical outcomes data currently available.<br /><br />One figure in the document shows intraoperative images of a patient with Freiberg's disease and a plantar plate tear, demonstrating the use of the SCI implant. A table includes clinical data, outcomes, and complications, but it is not described in the summary due to its length.

Asset Subtitle

Aman Chopra, BA, Amanda N. Fletcher, MD, MS, Naji S. Madi, MD, Selene G. Parekh, MD, MBA

Keywords

synthetic cartilage implant

second metatarsophalangeal joint arthritis

inflammation

osteoarthritis

Freiberg's disease

polyvinyl alcohol

pain relief

joint motion

clinical outcomes

electronic health records