Primary clinical evaluation of the joint replacement for the treatment of the first metatarsophalangeal arthritis.
- Author:
Qi-yi LI
1
;
Jin JIN
;
Xi-sheng WENG
;
Jin LIN
;
Yi-dan ZHANG
;
Gui-xing QIU
Author Information
- Publication Type:Journal Article
- MeSH: Arthritis; pathology; surgery; Arthroplasty, Replacement; Female; Humans; Joint Prosthesis; Male; Metatarsophalangeal Joint; anatomy & histology; pathology; surgery; Retrospective Studies; Treatment Outcome
- From: Chinese Medical Sciences Journal 2011;26(1):14-19
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo retrospectively assess the primary clinical results of a cohort of the first metatarsophalangeal joint replacement with double-stemmed hinge silicone implant.
METHODSA total of 12 patients (15 feet) received the joint replacement with double-stemmed hinge silicone implant. There were 2 males and 10 females with a mean age of 61.4 (range, 56-75) years old. Of them, 9 cases (11 feet) were hallux valgus with osteoarthritis; 1 case (2 feet) was rheumatic arthritis; 2 cases (2 feet) were traumatic arthritis. The subjective and objective results were evaluated during follow-up.
RESULTSAll of the patients were followed up regularly with an average of 24.7 months, ranging from 12 to 38 months. Ten patients were completely satisfied with the operation; 1 patient showed partial satisfaction, and 1 patient was not satisfied because of the first matatarsophalangeal joint pain due to severe hyperosteogeny surrounding the cut bone surface 3 years after the operation. Osteolysis around the implant occurred in 2 cases without clinical symptoms, and no special treatment was given.
CONCLUSIONThe joint replacement is a preferable method in alleviating pain and improving walking function with proper indication.
