BOFAS Interactive Instructional Case 1 Questions and Discussion: 61 Yr Old Woman with Coughlin Stage 3 Hallux Rigidus Who Wants to Keep Her Joint Flexibility and Function

Description

In this educational session, Rick Brown facilitates an engaging discussion among expert speakers Anna Chapman, Mark Davies, and Tim Clough regarding various methods of treating severe hallux rigidus in patients. The conversation begins with questions about the results of the first metatarsophalangeal (MTP) joint fusion compared to the interphalangeal (IP) joint's condition post-surgery and risks associated with increased patient activity. Anna indicates concerns about potential premature wear in the IP joint but reveals a gap in long-term literature on the subject.



Mark discusses the importance of patient screening for sesamoid disease, primarily relying on a clinical assessment as opposed to radiographic views. The conversation then shifts to Tim, who is praised for his low revision rates with a specific implant technique but faces scrutiny over the long-term outcomes of silastic implants and their revisions, which include bone grafting techniques for defects.



As the discussion continues, the experts address patient satisfaction and the practicality of fusion techniques, concluding with a voting session on treatment options for a 61-year-old patient exhibiting severe symptoms of hallux rigidus. The results show a preference for traditional MTP fusion over newer alternatives, highlighting the ongoing reliance on established methods in clinical practice. The session underscores the complexities and considerations in orthopedic treatment, with an emphasis on patient-centered outcomes.

Specialties