Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device Implantation
Background: Previous Level I studies show promising results for the use of a hydrogel synthetic cartilage implant (SCI) for the treatment of hallux rigidus. A recent independent retrospective review has put those results into question, however. The purpose of this article is to report patient-report...
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doaj-1240b89a0b5e4eb995591d81e266344c2020-11-25T03:36:02ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142020-08-01510.1177/2473011420930691Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device ImplantationWilliam M. Engasser MD0J. Chris Coetzee MD1Patrick B. Ebeling MD2Bryan D. Den Hartog MD3Jeffrey D. Seybold MD4Scott M. Holthusen MD5Rebecca Stone McGaver MS, ATC6Kayla J. Seiffert BS7M. Russell Giveans PhD8 Twin Cities Orthopedics, Edina, MN, USA Twin Cities Orthopedics, Edina, MN, USA Twin Cities Orthopedics, Edina, MN, USA Twin Cities Orthopedics, Edina, MN, USA Twin Cities Orthopedics, Edina, MN, USA Twin Cities Orthopedics, Edina, MN, USA Twin Cities Orthopedics, Edina, MN, USA Twin Cities Orthopedics, Edina, MN, USA Twin Cities Orthopedics, Edina, MN, USABackground: Previous Level I studies show promising results for the use of a hydrogel synthetic cartilage implant (SCI) for the treatment of hallux rigidus. A recent independent retrospective review has put those results into question, however. The purpose of this article is to report patient-reported outcomes and early complications using this implant so as to add to the paucity of data in the literature regarding this implant. Methods: This was a retrospective chart review of patients undergoing hydrogel synthetic cartilage implant for the treatment of hallux rigidus from July 2017 to November 2018. Data collected included patient demographics, radiographic grading, and outcomes: Veterans Rand 12 Item Health Survey (VR-12), Foot and Ankle Ability Measure (FAAM), visual analog scale (VAS), patient satisfaction, and complications. Fifty-four patients (59 feet) with an average age of 57.6 (range, 39-78) years were analyzed. The average latest follow-up was 18.9 (range, 3-31.3) months. Body mass index was 26.7 (range, 18.7-35.2). None were diabetic and 5 were smokers. Results: The mean outcome improvements were 6.5 points (VR-12 Physical), 17.2 points (FAAM ADL), 27.4 points (FAAM Sport), and 18.4 points (VAS) ( P < .01 for each). Scores were significantly improved from preoperatively to most recent follow-up for FAAM ADL (71.0 vs 88.2 points), FAAM Sports (44.6 vs 72.0 points), and VAS (49.4 vs 31.0) ( P < .01). Overall, 72.5% patients would definitely or probably have the operation again. Ten patients (18.5%) went on to have revision surgery. Of these, 7 patients were revised to an arthrodesis, and 1 metal hemiarthroplasty and 2 implants were removed because of infection. Conclusion: Synthetic cartilage implantation for the treatment of hallux rigidus demonstrated improved pain and outcome scores at short-term follow-up. Reoperation and conversion to fusion rates were comparable to prior studies. Level of Evidence: Level IV, case series.https://doi.org/10.1177/2473011420930691 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
William M. Engasser MD J. Chris Coetzee MD Patrick B. Ebeling MD Bryan D. Den Hartog MD Jeffrey D. Seybold MD Scott M. Holthusen MD Rebecca Stone McGaver MS, ATC Kayla J. Seiffert BS M. Russell Giveans PhD |
spellingShingle |
William M. Engasser MD J. Chris Coetzee MD Patrick B. Ebeling MD Bryan D. Den Hartog MD Jeffrey D. Seybold MD Scott M. Holthusen MD Rebecca Stone McGaver MS, ATC Kayla J. Seiffert BS M. Russell Giveans PhD Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device Implantation Foot & Ankle Orthopaedics |
author_facet |
William M. Engasser MD J. Chris Coetzee MD Patrick B. Ebeling MD Bryan D. Den Hartog MD Jeffrey D. Seybold MD Scott M. Holthusen MD Rebecca Stone McGaver MS, ATC Kayla J. Seiffert BS M. Russell Giveans PhD |
author_sort |
William M. Engasser MD |
title |
Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device Implantation |
title_short |
Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device Implantation |
title_full |
Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device Implantation |
title_fullStr |
Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device Implantation |
title_full_unstemmed |
Patient-Reported Outcomes and Early Complications After Synthetic Cartilage Device Implantation |
title_sort |
patient-reported outcomes and early complications after synthetic cartilage device implantation |
publisher |
SAGE Publishing |
series |
Foot & Ankle Orthopaedics |
issn |
2473-0114 |
publishDate |
2020-08-01 |
description |
Background: Previous Level I studies show promising results for the use of a hydrogel synthetic cartilage implant (SCI) for the treatment of hallux rigidus. A recent independent retrospective review has put those results into question, however. The purpose of this article is to report patient-reported outcomes and early complications using this implant so as to add to the paucity of data in the literature regarding this implant. Methods: This was a retrospective chart review of patients undergoing hydrogel synthetic cartilage implant for the treatment of hallux rigidus from July 2017 to November 2018. Data collected included patient demographics, radiographic grading, and outcomes: Veterans Rand 12 Item Health Survey (VR-12), Foot and Ankle Ability Measure (FAAM), visual analog scale (VAS), patient satisfaction, and complications. Fifty-four patients (59 feet) with an average age of 57.6 (range, 39-78) years were analyzed. The average latest follow-up was 18.9 (range, 3-31.3) months. Body mass index was 26.7 (range, 18.7-35.2). None were diabetic and 5 were smokers. Results: The mean outcome improvements were 6.5 points (VR-12 Physical), 17.2 points (FAAM ADL), 27.4 points (FAAM Sport), and 18.4 points (VAS) ( P < .01 for each). Scores were significantly improved from preoperatively to most recent follow-up for FAAM ADL (71.0 vs 88.2 points), FAAM Sports (44.6 vs 72.0 points), and VAS (49.4 vs 31.0) ( P < .01). Overall, 72.5% patients would definitely or probably have the operation again. Ten patients (18.5%) went on to have revision surgery. Of these, 7 patients were revised to an arthrodesis, and 1 metal hemiarthroplasty and 2 implants were removed because of infection. Conclusion: Synthetic cartilage implantation for the treatment of hallux rigidus demonstrated improved pain and outcome scores at short-term follow-up. Reoperation and conversion to fusion rates were comparable to prior studies. Level of Evidence: Level IV, case series. |
url |
https://doi.org/10.1177/2473011420930691 |
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