Eficacia de la artroscopia en el hallux rígidusuna revisión sistemática

  1. Diego Mosquera Canosa 1
  2. Óscar Miguel Álvarez-Calderón Iglesias 2
  1. 1 Servicio Gallego de Salud, Hospital Arquitecto Marcide A Coruña, España.
  2. 2 Facultad de Enfermería y Podología. Fundación HM de investigación
Journal:
Revista española de podología

ISSN: 0210-1238

Year of publication: 2024

Volume: 35

Issue: 1

Pages: 49-56

Type: Article

DOI: 10.20986/REVESPPOD.2024.1689/2024 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista española de podología

Abstract

Introduction: Hallux rigidus limits movement and causes stiff ness in the joint of the first toe. Arthroscopy is a minimally invasive surgical technique that can facilitate its treatment. Although improvement in pain, function, and progression of hallux rigidus has been observed, the effectiveness of arthroscopy is not conclusively established. This systematic review analyzes the use of arthroscopy in hallux rigidus, evaluating the reduction of pain and the increase in functionality of the fi rst toe in patients undergoing arthroscopic techniques. Methodology: A comprehensive search was conducted in PubMed, Web of Science, and Scopus following PRISMA guidelines and using JBI scales to assess the quality and risk of bias in the studies. Results: Seven articles with 138 patients were included. The quality of the studies was moderate, with a moderate risk of bias. Dorsal arthroscopic cheilectomy was the most frequent technique (63.7%). The average follow-up was 22.8 months, showing significant improvements in postoperative range of motion. Improvement in pain and functionality was observed according to AOFAS, VAS, and VPS scales. Satisfaction was high, and the majority would consider undergoing surgery again. Arthroscopy proved eff ective in improving movement, pain, and functionality of the foot in hallux rigidus compared to conventional surgical techniques. Surgeon skill and pre-surgical evaluation are crucial. Prospective studies with robust methodologies are needed to confirm the effi cacy and safety of arthroscopy compared to traditional techniques.

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