{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:11:02Z","timestamp":1791331862341,"version":"4.3.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate the short-term outcomes of metatarsal head metal resurfacing hemiarthroplasty in patients with advanced stage hallux rigidus. \\r\\nMethods: The study included 14 feet (4 left, 10 right) of 12 patients (10 female, 2 male; mean age: 63\u00b15; range: 55 to 71 years) who underwent metatarsal head metal resurfacing hemiarthroplasty (HemiCAP\u00ae) between 2007 and 2010. Additionally, capsular release and periarticular osteophyte debridement were performed. Staging was made according to Coughlin and Shurnas\u2019 clinical and radiological grading system. Hallux valgus and intermetatarsal angles were measured using pre and postoperative standing AP and lateral foot views. Clinical assessment was made with first metatarsophalangeal joint range of motion, the AOFAS (American Orthopaedic Foot and Ankle Society) hallux metatarsophalangeal-interphalangeal scale and satisfaction level. \\r\\nResults: Mean follow up was 19.5 (range: 14 to 26) months. Two patients had bilateral involvement. According to Coughlin and Shurnas\u2019 clinical and radiological grading system, nine feet were Stage 3 and five feet were Stage 4. According to the AOFAS scale, results of eight feet (57.1%) were excellent, four feet (28.6%) were good and two feet (14.3%) were moderate. Mean total AOFAS score increased by 26.2 points postoperatively (p&lt;0.05). Mean range of motion of the first metatarsophalangeal joint improved significantly from a preoperative 22.2\u00b15.6 (range: 10 to 28) degrees to a postoperative 56.3\u00b19.6 degrees (p&lt;0.05). Mean hallux valgus angle decreased from a preoperative 14.3 (range: 9 to 17) degrees to a postoperative 11.1 (range: 4 to 13) degrees and the mean intermetatarsal angle increased from a preoperative 10.5 (range: 8 to 14) degrees to a postoperative 10.8 (range: 8 to 15) degrees. Patient satisfaction levels were very good in 10 feet (71.4%), good in 3 (21.4%), and moderate in one (7.2%). Complications included metatarsalgia aggravated by long walks in one patient and hypoesthesia of the great toe in three patients. Push-off power of the great toes was measured as 4\/5 in three cases, and 5\/5 in others. \\r\\nConclusion: Metatarsal head metal resurfacing hemiarthroplasty provides high patient satisfaction level and good functional outcome in the short-term, in the surgical treatment of advanced stage hallux rigidus refractory to conservative treatment options.\n\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fmadaki ama\u00e7 ileri evre halluks rijidusu olan hastalara uygulad\u0131\u011f\u0131m\u0131z metatars ba\u015f\u0131 y\u00fczey de\u011fi\u015ftirici metal y\u00fczeyli hemiartroplastinin erken d\u00f6nemdeki sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmekti. \\r\\n\u00c7al\u0131\u015fma plan\u0131: 2007-2010 y\u0131llar\u0131 aras\u0131nda ileri evre halluks rijidus tan\u0131s\u0131yla 12 hastan\u0131n (10 kad\u0131n, 2 erkek; ortalama ya\u015f: 63\u00b15, da\u011f\u0131l\u0131m: 55-71) 14 aya\u011f\u0131na (4 sol, 10 sa\u011f) metatars ba\u015f\u0131 y\u00fczey de\u011fi\u015ftirici metal y\u00fczeyli hemiartroplasti (HemiCAP\u00ae) uyguland\u0131. \u0130mplant uygulamas\u0131n\u0131n yan\u0131nda, kaps\u00fcler gev\u015fetme ve eklem \u00e7evresi osteofit debridman\u0131 yap\u0131ld\u0131. Evreleme, Coughlin ve Shurnas\u2019\u0131n halluks rijidus klinik ve radyografik evreleme sistemine g\u00f6re yap\u0131ld\u0131. Hastalar\u0131n ameliyat \u00f6ncesi ve sonras\u0131 radyolojik de\u011ferlendirmede ayakta basarak \u00e7ekilen \u00f6n-arka ve yan grafilerinde halluks valgus a\u00e7\u0131s\u0131 ve intermetatarsal a\u00e7\u0131 \u00f6l\u00e7\u00fcld\u00fc. Klinik de\u011ferlendirmeler 1. metatarsofalangeal eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fc, AOFAS (American Orthopaedic Foot and Ankle Society) halluks metatarsofalangeal-interfalangeal skalas\u0131 ve memnuniyet d\u00fczeyleri ile yap\u0131ld\u0131.\\r\\nBulgular: Hastalar\u0131n ortalama takip s\u00fcresi 19.5 (da\u011f\u0131l\u0131m: 14-26) ay idi. \u0130ki hastada iki tarafl\u0131 tutulum vard\u0131. Dokuz ayak Evre 3, be\u015f ayak Evre 4 idi. AOFAS skalas\u0131na g\u00f6re, son takipte sekiz ayakta (%57.1) m\u00fckemmel, d\u00f6rt ayakta (%28.6) iyi, iki ayakta (%14.3) orta sonu\u00e7 elde edildi. Ameliyat sonras\u0131nda AOFAS skorunda ortalama 26.2 puanl\u0131k art\u0131\u015f sa\u011fland\u0131 (p&lt;0.05). Ameliyat \u00f6ncesinde 22.2\u00b15.6 (da\u011f\u0131l\u0131m: 10-28) derece olan eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 ortalamas\u0131 ameliyat sonras\u0131nda artarak 56.3\u00b19.6 (da\u011f\u0131l\u0131m: 40-65) dereceye y\u00fckseldi (p&lt;0.05). Ortalama halluks valgus a\u00e7\u0131s\u0131 14.3 (da\u011f\u0131l\u0131m: 9-17) dereceden 11.1 (da\u011f\u0131l\u0131m: 4-13) dereceye gerilerken, ortalama intermetatarsal a\u00e7\u0131 ise 10.5 (da\u011f\u0131l\u0131m: 8-14) dereceden 10.8 (da\u011f\u0131l\u0131m: 8-15) dereceye y\u00fckseldi. Hastalar\u0131n ameliyat sonucundan memnun kalma d\u00fczeyleri 10 ayakta (%71.4) \u00e7ok iyi, 3 ayakta (%21.4) iyi, bir ayakta (%7.2) orta bulundu. Ameliyat sonras\u0131nda komplikasyon olarak bir ayakta uzun y\u00fcr\u00fcy\u00fc\u015fler sonucu metatarsalji, \u00fc\u00e7 ba\u015fparmakta hipoestezi g\u00f6r\u00fcld\u00fc. Ba\u015fparmaklar\u0131n itme g\u00fcc\u00fc \u00fc\u00e7 olguda 4\/5, di\u011ferlerinde ise 5\/5\u2019ti.\\r\\n\u00c7\u0131kar\u0131mlar: Konservatif tedavi y\u00f6ntemlerinden fayda g\u00f6rmeyen ileri evre HR olgular\u0131n\u0131n cerrahi tedavisinde metatars ba\u015f\u0131 y\u00fczey de\u011fi\u015ftirici metal y\u00fczeyli hemiartroplasti erken d\u00f6nemde y\u00fcksek hasta memnuniyeti ve iyi fonksiyonel sonu\u00e7 sa\u011flamaktad\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2012.2795","type":"journal-article","created":{"date-parts":[[2012,9,15]],"date-time":"2012-09-15T00:58:14Z","timestamp":1347670694000},"page":"281-285","source":"Crossref","is-referenced-by-count":20,"title":["Metatarsal head resurfacing hemiarthroplasty in the treatment of advanced stage hallux rigidus: outcomes in the shortterm"],"prefix":"10.5152","volume":"46","author":[{"given":"Mehmet","family":"Erdil","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerem","family":"Bilsel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunus","family":"Imren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serhat","family":"Mutlu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olcay","family":"Guler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volkan","family":"Gurkan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuh","family":"Mehmet Elmadag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Tuncay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2626\/2582","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:26:53Z","timestamp":1763465213000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2626"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2012,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2795","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}