Joint replacement in the hallux metatarsophalangeal joint.

Abstract:

:Joint replacement of the hallux metatarsophalangeal joint has not enjoyed the same success as hip and knee arthroplasties. Silastic implants have achieved a high patient satisfactory rate but have caused many complications, including silicone synovitis and lymph node inflammation. Metal and polyethylene hemiarthroplasties and total toe replacements seem to be more promising although results are preliminary. Problems with these implants seem to be related to soft tissue instability of the joint; patients who have hallux rigidus have more success than patients who have hallux valgus or rheumatoid arthritis. Severe complications can be treated with removal and synovectomy or arthrodesis, depending on the length and alignment of the foot, as well as the functional demands of the patients. It would be beneficial to have more data on these implants so that improvements can be made in design and patient selection.

journal_name

Foot Ankle Clin

journal_title

Foot and ankle clinics

authors

Esway JE,Conti SF

doi

10.1016/j.fcl.2004.09.002

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

97-115

issue

1

eissn

1083-7515

issn

1558-1934

pii

S1083-7515(04)00101-9

journal_volume

10

pub_type

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