Utilizing Cost and Quality Measures to Guide Fixation of MTP Arthritis:

Foot & Ankle Orthopaedics

MaCalusHogan¹ 

关键词: PROs;    cost;    quality;    MTP arthritis;   

DOI  :  10.1177/2473011418S00246

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Midfoot/ForefootIntroduction/Purpose:Severe hallux rigidus is the 2nd most common disorder of the 1st metatarsophalangeal (MTP) joint and is present on more than 44% of radiographs taken in those over 80 years of age. Arthrodesis has been the proposed method of fixation for 1st MTP pathology. However, joint preserving alternatives to fusion have also been proposed to maintain joint motion and due to the relatively high nonunion rate (5.4%). However, few reports have investigated if the risk of complications from a fusion impact daily activities and functional outcomes. As such, we investigated the cost and quality associated with treatment of severe MTP arthritis to determine the optimal surgical intervention.Methods:This was a retrospective review of 384 patients from a prospectively collected foot and ankle platform registry in a payor-provider healthcare system. Patients who underwent surgical intervention from July 2015 to November 2017 were identified by CPT codes for MPT arthrodesis (28750)...

【 授权许可】

CC BY