{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T10:30:56Z","timestamp":1786357856350,"version":"build-2736575974"},"reference-count":28,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T00:00:00Z","timestamp":1786233600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: First metatarsophalangeal (MTP) joint arthritis is a debilitating condition often treated with arthrodesis or joint replacement. However, the effectiveness of MTP joint replacement has not been thoroughly researched. This study aimed to evaluate functional outcomes and complication rates following first MTP joint replacement over a maximum seven-year follow-up period. Methods: A retrospective cohort study of 60 patients (68 toes) who underwent MTP joint replacement was performed. Data were extracted from medical records and anonymised prior to analysis. The primary outcomes measured included functional improvement and pain relief (AOFAS). Results: Findings indicate significant improvement in mean active and passive range of motion (ROM), with a mean active ROM of 35 degrees and a mean passive ROM of 45 degrees from a pre-op ROM of 0\u201310 degrees. The overall complication rate was 20.58%, with 10 cases of persistent stiffness but no pain and four cases of continued post-operative pain that necessitated MTP arthrodesis. Patients reported a mean post-operative AOFAS Hallux MTP-IP score of 88, improving from a pre-op score of 35. Conclusions: Results suggest that first MTP joint replacement is associated with significant pain relief and functional improvement with acceptable complication rates over the study period.<\/jats:p>","DOI":"10.3390\/jcm15166170","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T09:24:53Z","timestamp":1786353893000},"page":"6170","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Outcomes Following First Metatarsophalangeal Joint Replacement: A Cohort Study"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9223-9397","authenticated-orcid":false,"given":"Hamza","family":"Idrees","sequence":"first","affiliation":[{"name":"The Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust, Gayton Rd, King\u2019s Lynn PE30 4ET, UK"},{"name":"Barts and the London School of Medicine and Dentistry, Garrod Building, Turner St, London E1 2AD, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6430-3833","authenticated-orcid":false,"given":"Liviu-Coriolan","family":"Misca","sequence":"additional","affiliation":[{"name":"Department Orthopaedics and Traumatology, Cork University Hospital, T12 DC4A Cork, Ireland"},{"name":"Orthopaedics Department, University of Medicine and Pharmacy Victor Babes, Timisoara, 300041 Timisoara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rehan","family":"Gul","sequence":"additional","affiliation":[{"name":"Department Orthopaedics and Traumatology, Cork University Hospital, T12 DC4A Cork, Ireland"},{"name":"Department Orthopaedics and Traumatology, University College Cork, T12 K8AF Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1302\/2058-5241.2.160031","article-title":"Hallux rigidus","volume":"2","author":"Ho","year":"2017","journal-title":"EFORT Open Rev."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1177\/107110070302401002","article-title":"Hallux rigidus: Demographics, etiology, and radiographic assessment","volume":"24","author":"Coughlin","year":"2003","journal-title":"Foot Ankle Int."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1177\/1071100719859236","article-title":"Long-term Follow-up of Cheilectomy for Treatment of Hallux Rigidus","volume":"40","author":"Sidon","year":"2019","journal-title":"Foot Ankle Int."},{"key":"ref_4","first-page":"154","article-title":"Cheilectomy: Still a useful technique for grade I and grade II hallux limitus\/rigidus","volume":"31","author":"Geldwert","year":"1992","journal-title":"J. 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