{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T03:11:55Z","timestamp":1780369915088,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study investigated the quality and clinical outcomes of the British Orthopaedic Foot and Ankle Society (BOFAS) registry first metatarsophalangeal joint (MTPJ) arthrodesis pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective cohort study using data derived from the BOFAS registry. Adults aged \u2265\u00a018\u00a0years with a record of undergoing first MTPJ arthrodesis in the UK from 29\/08\/2014 to 31\/10\/2019. The pre\u2010 and post\u2010treatment pathway was evaluated by analysing Patient Reported Outcome Measures (PROMs) at baseline, 6\u00a0months and 12\u00a0months intervals. Consistency of data capture and completeness were explored using means, SD, medians and IQR for continuous variables and frequencies for categorical variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age of the study population (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0459) was 64.1 (\u00b1\u00a012.1)\u2009years and 98.9% of the study cohort were female. Completeness of data collection was low for some items (e.g., medication 46%, surgical procedures 52%). Baseline completion of PROMs was moderate with 52.5% of participants providing MOXFQ (Manchester\u2013Oxford Foot Questionnaire) pain and walking\/standing scores at baseline. However, follow\u2010up response rates declined substantially to 27.2% at 6\u00a0months and 15.7% at 12\u00a0months. Improvement in PROMs by 12\u00a0months following surgery was statistically and clinically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), with median scores of 10 [IQR: 0\u201320] for MOXFQ pain, 5.5 [0\u201321] for walking\/standing, 0 [0\u201319] for social interaction, 5 [1\u201331] for NRS pain and 0.8 [0.7\u20131.0] for EQ\u20105D\u20105L.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The analysis highlights the clinical benefits of first metatarsophalangeal joint (first MTPJ) fusion surgery, with improvements in pain intensity, walking\/standing ability, social interaction and quality of life. The BOFAS registry serves as a valuable tool for collecting patient\u2010reported outcome measure (PROM) data, providing important insights into treatment effectiveness and participant well\u2010being. Strengthening the data collection capabilities of the BOFAS registry could further enhance our understanding of the benefits of first MTPJ fusion and inform future treatment strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jfa2.70084","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T12:27:32Z","timestamp":1759235252000},"source":"Crossref","is-referenced-by-count":2,"title":["Clinical Outcomes of First Metatarsophalangeal Joint Arthrodesis Using the BOFAS Registry: A Prospective Cohort Study"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4545-3703","authenticated-orcid":false,"given":"Ferozkhan","family":"Jadhakhan","sequence":"first","affiliation":[{"name":"College of Life Sciences Faculty of Health Education and Life Sciences Birmingham City University  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Makwana","family":"Nilesh","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust  Oswestry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mason","family":"Lyndon","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedic Department Liverpool University Hospitals NHS Foundation Trust  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halliwell","family":"Paul","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery Royal Surrey County Hospital NHS Trust  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8114-7669","authenticated-orcid":false,"given":"Rushton","family":"Alison","sequence":"additional","affiliation":[{"name":"School of Physical Therapy Faculty of Health Sciences Western University  London Ontario Canada"},{"name":"Centre of Precision Rehabilitation for Spinal Pain School of Sport Exercise and Rehabilitation Sciences University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"e_1_2_15_2_1","unstructured":"National Joint Registry Improving Joint Replacement. The National Joint Registry for England Wales and Northern Ireland accessed July 15 2020 https:\/\/www.njrcentre.org.uk\/njrcentre\/Portals\/0\/Documents\/England\/Leaflets\/NJR%20Improving%20joint%20replacement%20\u2010%20March%202015%20Online.pdf?ver=2015\u201004\u201009\u2010145345\u2010517"},{"key":"e_1_2_15_3_1","unstructured":"BOFAS Registry (accessed 31 March 2020) https:\/\/www.bofas.org.uk\/Outcomes\/FAQs."},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.4137\/HSI.S11093"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1302\/2633\u20101462.12.BJO\u20102019\u20100002"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302400405"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0752"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712469333"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302401002"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/1759720X17753337"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/698709"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.28.5.w822"},{"key":"e_1_2_15_13_1","first-page":"342365","volume-title":"Ethics of Consumption","author":"Segal J. 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