Joint Manipulation Under Anesthesia for Arthrofibrosis After Hallux Valgus Surgery

Abstract Arthrofibrosis is a known complication of hallux valgus surgery. Joint manipulation under anesthesia has been studied for adhesive capsulitis of the shoulder; however, a paucity of published data exists on the use of this modality in the foot and ankle. The purpose of the present study was...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2016-01, Vol.55 (1), p.76-80
Main Authors: Feuerstein, Catherine, DPM, AACFAS, Weil, Lowell, DPM, MBA, FACFAS, Weil, Lowell Scott, DPM, FACFAS, Klein, Erin E., DPM, MS, AACFAS, Argerakis, Nicholas, DPM, AACFAS, Fleischer, Adam E., DPM, MPH, FACFAS
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anesthesia - methods
bunion deformity
complication
Female
first metatarsophalangeal joint
Follow-Up Studies
Forecasting
great toe
Hallux Valgus - physiopathology
Hallux Valgus - rehabilitation
Hallux Valgus - surgery
Humans
Male
Metatarsophalangeal Joint - surgery
Middle Aged
Orthopedics
Osteotomy - methods
Patient Satisfaction
Postoperative Care - methods
Range of Motion, Articular - physiology
stiffness
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Summary:Abstract Arthrofibrosis is a known complication of hallux valgus surgery. Joint manipulation under anesthesia has been studied for adhesive capsulitis of the shoulder; however, a paucity of published data exists on the use of this modality in the foot and ankle. The purpose of the present study was to investigate the outcomes of first metatarsophalangeal joint manipulation for arthrofibrosis that occurred as a complication of bunion surgery. The study population consisted of patients attending a single foot and ankle specialty clinic who were evaluated for arthrofibrosis after bunion surgery. Patients who underwent joint manipulation under anesthesia were asked to complete a research visit in which a clinical examination was performed and the presence and severity of joint pain were assessed. A total of 38 patients (34 females, 4 males, 53 feet), with a mean age of 55.7 ± 11.8 (range 30 to 83) years, agreed to participate. The mean follow-up period was 6.5 ± 3.4 (range 1 to 17) years. The visual analog scale scores improved significantly from baseline to the final follow-up visit (baseline 6.5 ± 1.5, range 2 to 10; final follow-up visit 2.3 ± 1.5, range 0 to 6; p  
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2015.06.023