Plantar plate radiofrequency and XXXX for subtle metatarsophalangeal joint instablity.

@entity1 @entity227 @entity75 @entity7530 @entity158 @entity2720 @entity1411 @entity130
BACKGROUND: To the present day, literature has only discussed how to treat @entity1411 and collateral ligament lesions, with @entity2720 and obvious clinical instability. The treatment options for early stages of the disease with @entity130 and subtle instabilities have not been described. The main purpose of this prospective study is to evaluate the efficacy of the combination of the arthroscopic radiofrequency shrinkage and distal @entity7530 in the treatment of subtle metatarsophalangeal joint instability. METHOD: Prospective data (clinical, radiological, and arthroscopic findings) of 19 @entity1 , with a total of 35 slightly unstable joints, was collected. The physical examination defined the hypothesis for @entity75 (grades 0 and 1), which was confirmed during the diagnostic step of the arthroscopic procedure. RESULTS: Among our @entity1 , 73  % were females and 63  % reported wearing high heels. The average age was 59  years and post-operative follow-up was 20  months. In the initial sample frame, 62  % of joints showed spread-out toes with increased interdigital spacing. The mean American Orthopedic Foot and Ankle Society score rose from 53 points pre-operatively to 92 points post-operatively and a @entity227 scale average value of eight points pre-operatively decreased to zero post-operatively. During the pre-operative evaluation, none of the @entity1 had stable joints and over 97  % were classified as having grade 1 instability (<50  % subluxation). After treatment, 83  % of the joints became stable (degree of instability 0) and over 97  % were congruent. All studied parameters showed statistically significant improvements in the post-operative period (p   <   0.001) showing the efficiency of the treatment in @entity158 relief, while restoring the joint stability and congruity. CONCLUSION: Arthroscopic radiofrequency shrinkage in combination with distal @entity7530 promotes functional improvement, @entity158 relief, and restores the joint stability in the plantar plate lesion grades 0 and 1.
