Moje first metatarsophalangeal replacement--a case series with functional outcomes using the AOFAS-HMI score

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Mark BrewsterJames Ramos

Abstract

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.

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Citations

Aug 23, 2011·Der Orthopäde·J GötzM Handel
Jan 18, 2011·British Medical Bulletin·Nicola MaffulliVincenzo Denaro
Jun 5, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Jonathan Thorndike Deland, Benjamin Roller Williams
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Jun 5, 2016·Foot and Ankle Clinics·Michael D Johnson, Michael E Brage
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Jul 28, 2012·Foot & Ankle International·Sebastian Dawson-BowlingMichael Fordyce
Feb 6, 2020·The Bone & Joint Journal·Timothy M Clough, Joseph Ring

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