{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:27:43Z","timestamp":1793726863349,"version":"4.6.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T00:00:00Z","timestamp":1667865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The aim of this study was to compare outcome (clinical, patient-reported outcome measures, radiologic, joint motion and pedographic) of total joint replacement with Roto-Glide (RG) and arthrodesis (A) for severe osteoarthritis of the first metatarsophalangeal joint (MTP1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All consecutive patients with arthrodesis and RG from January 23, 2011, until September 18, 2019, at the authors\u2019 institution were considered for inclusion in the study. Preoperatively and at follow-up (FU), radiographs, and\/or weightbearing computed tomographic imaging were obtained. Standard dynamic pedography was performed. Visual analog scale foot and ankle (VASFA), European Foot and Ankle Society (EFAS) score, MTP1 range of motion for dorsiflexion\/plantarflexion (DF\/PF) were registered and compared preoperatively and at FU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seventy RG and 72 arthrodesis patients were included. Preoperative VASFA and EFAS scores did not differ between the RG and arthrodesis groups (average scores: VASFA, 50.6 and 45.6; EFAS score, 10.7 and 10.6, respectively; each\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05). Wound healing delays without further operative measures were registered in 4 patients (6%) for RG and 5 (7%) for arthrodesis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .67), and 5 revisions in 5 patients (7%) for RG and 12 in 8 (11%) for arthrodesis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .05). The longest available FU was higher in RG than in arthrodesis (47 vs 37 months on average,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Pedography showed higher first metatarsal head or sesamoids and lower great toe force percentage from force of entire foot in RG than in arthrodesis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .05) resulting in physiological pattern in RG only. VASFA and EFAS scores at FU was higher in RG than in arthrodesis (average scores: VASFA, 72.6 and 63.6; EFAS score, 16.1 and 14.1, respectively; each\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05). DF\/PF measurement was only possible in RG (average value: DF\/PF, 36.1\/14.0).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We found marginally lower revision rates and higher patient-reported outcome measures, joint motion (DF\/PF), and more physiologic force distribution at slightly longer FU for the RG group than the arthrodesis group. Longer follow-up and broader clinical reporting are needed to identify the potential deficits of RG.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007221125219","type":"journal-article","created":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T07:14:52Z","timestamp":1667891692000},"page":"32-39","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Comparison of Total Joint Replacement With Arthrodesis of the First Metatarsophalangeal Joint"],"prefix":"10.1177","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7934-6551","authenticated-orcid":false,"given":"Martinus","family":"Richter","sequence":"first","affiliation":[{"name":"Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Location Hospital Rummelsberg, Rummelsberg, Schwarzenbruck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Zech","sequence":"additional","affiliation":[{"name":"Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Location Hospital Rummelsberg, Rummelsberg, Schwarzenbruck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan Andreas","family":"Meissner","sequence":"additional","affiliation":[{"name":"Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Location Hospital Rummelsberg, Rummelsberg, Schwarzenbruck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issam","family":"Naef","sequence":"additional","affiliation":[{"name":"Department for Foot and Ankle Surgery Rummelsberg and Nuremberg, Location Hospital Rummelsberg, Rummelsberg, Schwarzenbruck, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,11,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.55095\/achot2010\/044"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2008.03.006."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717735289."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.07.003"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2009.08.009"},{"issue":"4","key":"e_1_3_2_7_2","first-page":"221","article-title":"First metatarsophalangeal joint arthrodesis: a retrospective comparison of crossed-screws, locking and non-locking plate fixation with lag screw","volume":"5","author":"Claassen L","year":"2017","unstructured":"Claassen L, Plaass C, Pastor MF, et al. First metatarsophalangeal joint arthrodesis: a retrospective comparison of crossed-screws, locking and non-locking plate fixation with lag screw. 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