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Is adjunction of advanced platelet-rich fibrin (A-PRF) useful in first metatarsophalangeal joint arthrodesis? A retrospective cohort study.

Publication ,  Journal Article
Bernasconi, A; Cailliez, J; de Cesar Netto, C; Wargny, M; Mehdi, N; Colombier, JA; Lintz, F
Published in: Foot (Edinb)
March 2020

PURPOSE: First metatarsophalangeal (MTPJ1) fusion represents the gold standard treatment for end-stage hallux rigidus (HR). The aim of this study was to assess efficacy and safety of A-PRF in promoting union after MTPJ1 arthrodesis. Our hypothesis was that the use of A-PRF may reduce the non-union rate and the time to fusion in the treatment of HR. METHODS: 14 patients that had undergone MTPJ1 arthrodesis with A-PRF adjunction with 21 standard MTPJ1 fusions were retrospectively reviewed. The fusion rate and time to fusion (clinically and radiographically) were assessed at 6, 12 weeks and at the longest follow-up; the clinical status at final follow-up through forefoot AOFAS, EQ5d, SEFAS and VAS-pain scores; the complication rate. RESULTS: At 6-weeks, bony union was achieved in 100% of patients in the A-PRF group compared to 70% in the control group, but this difference was not statistically significant (p=0.22). At final follow-up (41 months), union rate in the control group reached 92% (one non-union). AOFAS, VAS and EQ-5d scores showed similar results for the two groups (p=0.86, p=0.12 and p=0.61, respectively); only SEFAS score revealed a difference favoring the A-PRF group (p=0.04). No revision surgery or complication was recorded in any group. CONCLUSIONS: A tendency for increased union rate was mainly found at 6 weeks in patients treated with MTPJ1 fusion associated to A-PRF compared to isolated fusion. The use of A-PRF was not associated with an increased complication rate at final follow-up. LEVEL OF EVIDENCE: Level 3, therapeutic study, retrospective comparative study.

Duke Scholars

Published In

Foot (Edinb)

DOI

EISSN

1532-2963

Publication Date

March 2020

Volume

42

Start / End Page

101648

Location

Scotland

Related Subject Headings

  • Visual Analog Scale
  • Retrospective Studies
  • Platelet-Rich Fibrin
  • Osteogenesis
  • Orthopedics
  • Middle Aged
  • Metatarsophalangeal Joint
  • Male
  • Humans
  • Hallux Rigidus
 

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Bernasconi, A., Cailliez, J., de Cesar Netto, C., Wargny, M., Mehdi, N., Colombier, J. A., & Lintz, F. (2020). Is adjunction of advanced platelet-rich fibrin (A-PRF) useful in first metatarsophalangeal joint arthrodesis? A retrospective cohort study. Foot (Edinb), 42, 101648. https://doi.org/10.1016/j.foot.2019.10.003
Bernasconi, Alessio, Julien Cailliez, Cesar de Cesar Netto, Matthieu Wargny, Nazim Mehdi, Jean Alain Colombier, and François Lintz. “Is adjunction of advanced platelet-rich fibrin (A-PRF) useful in first metatarsophalangeal joint arthrodesis? A retrospective cohort study.Foot (Edinb) 42 (March 2020): 101648. https://doi.org/10.1016/j.foot.2019.10.003.
Bernasconi A, Cailliez J, de Cesar Netto C, Wargny M, Mehdi N, Colombier JA, et al. Is adjunction of advanced platelet-rich fibrin (A-PRF) useful in first metatarsophalangeal joint arthrodesis? A retrospective cohort study. Foot (Edinb). 2020 Mar;42:101648.
Bernasconi, Alessio, et al. “Is adjunction of advanced platelet-rich fibrin (A-PRF) useful in first metatarsophalangeal joint arthrodesis? A retrospective cohort study.Foot (Edinb), vol. 42, Mar. 2020, p. 101648. Pubmed, doi:10.1016/j.foot.2019.10.003.
Bernasconi A, Cailliez J, de Cesar Netto C, Wargny M, Mehdi N, Colombier JA, Lintz F. Is adjunction of advanced platelet-rich fibrin (A-PRF) useful in first metatarsophalangeal joint arthrodesis? A retrospective cohort study. Foot (Edinb). 2020 Mar;42:101648.
Journal cover image

Published In

Foot (Edinb)

DOI

EISSN

1532-2963

Publication Date

March 2020

Volume

42

Start / End Page

101648

Location

Scotland

Related Subject Headings

  • Visual Analog Scale
  • Retrospective Studies
  • Platelet-Rich Fibrin
  • Osteogenesis
  • Orthopedics
  • Middle Aged
  • Metatarsophalangeal Joint
  • Male
  • Humans
  • Hallux Rigidus