{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T16:11:13Z","timestamp":1788106273564,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T00:00:00Z","timestamp":1675296000000},"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 &amp; Ankle Specialist"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While metatarsophalangeal joint (MTPJ) arthrodesis is regarded as the gold standard treatment option for end-stage hallux rigidus (HR), synthetic cartilage implant (SCI) resurfacing has gained popularity. This study aimed to identify the SCI resurfacing failure rate for a single surgeon, while also comparing clinical outcomes of patients who underwent SCI replacement or MTPJ arthrodesis after failed index SCI resurfacing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Health records were queried from 2016 to 2021 for patients with HR who were treated with SCI resurfacing by a single surgeon. Preoperative and postoperative range of motion, visual analog scale (VAS) pain scores, and hallux valgus angles were compared. A subgroup analysis was performed on patients who underwent revision with SCI replacement or MTPJ arthrodesis. SCI replacement included the use of bone graft, bone putty, or a custom 3D printed baseplate to prevent implant subsidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 219 SCI resurfacing procedures were performed by a single surgeon, including 23 revisions. When analyzing index procedures, an 8.2% revision rate was determined. The revision cohort (n = 23) consisted of 19 female patients and presented with a mean body mass index of 29.5 \u00b1 5 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , mean age of 52.8 \u00b1 11 years, mean follow-up duration of 22.3 (range, 3-54) months, and mean time to a revision surgery of 12.1 \u00b1 12 (range, 1-50) months. Specifically, 12 procedures resulted in an SCI replacement, while 11 procedures resulted in arthrodesis. While all patients experienced significant improvement in their VAS pain scores ( P &lt; .001), the arthrodesis cohort experienced a greater improvement than the SCI revision cohort ( P = .04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>When analyzing SCI revision procedures, MTPJ arthrodesis reduced pain more significantly than SCI replacement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Levels of Evidence:<\/jats:title>\n                    <jats:p>Level IV: Retrospective case series<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19386400221147773","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T03:49:35Z","timestamp":1675309775000},"page":"365-374","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Revision Surgery After Failed Index Synthetic Cartilage Implant Resurfacing for Hallux Rigidus: Single-Surgeon 5-Year Experience"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6654-4030","authenticated-orcid":false,"given":"Aman","family":"Chopra","sequence":"first","affiliation":[{"name":"Georgetown University School of Medicine, Washington, District of Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda N.","family":"Fletcher","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naji S.","family":"Madi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Duke University, Durham, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selene G.","family":"Parekh","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"key":"bibr1-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1016\/s1083-7515(01)00004-3"},{"key":"bibr2-19386400221147773","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i5.364"},{"key":"bibr3-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpm.2011.02.004"},{"key":"bibr4-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.2.160031"},{"key":"bibr5-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/1071100712460220"},{"key":"bibr6-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716635560"},{"key":"bibr7-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719855049"},{"key":"bibr8-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719877147"},{"key":"bibr9-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720932526"},{"key":"bibr10-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.05.009"},{"key":"bibr11-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/2473011417S000044"},{"key":"bibr12-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2019.03.023"},{"key":"bibr13-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221094837"},{"key":"bibr14-19386400221147773","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200311000-00003"},{"key":"bibr15-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04807-3"},{"key":"bibr16-19386400221147773","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.17.00032"},{"key":"bibr17-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716679979"},{"key":"bibr18-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1177\/1938640020943715"},{"key":"bibr19-19386400221147773","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2021.03.004"}],"container-title":["Foot &amp; 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