A METALLIC HEMIARTHROPLASTY RESURFACING PROSTHESIS FOR THE HALLUX METATARSOPHALANGEAL JOINT

被引：82

作者：

TOWNLEY, CO ^{[1
]}

TARANOW, WS ^{[1
]}

机构：

[1] PORT HURON HOSP,ORTHOPAED SECT,PORT HURON,MI 48060

来源：

FOOT & ANKLE INTERNATIONAL | 1994年 / 15卷 / 11期

关键词：

D O I：

10.1177/107110079401501101

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Two-hundred seventy-nine arthritic hallux metatarsophalangeal joints treated surgically with a metallic resurfacing hemiarthroplasty over a 40-year period were reviewed. The implant, which is made available in three evenly graded sizes, is designed to replace only the articular surface of the proximal phalanx, with minimal resection of bone stock. The pathologic indications for surgery included classical hallux rigidus, rheumatoid arthritis, and degenerative changes associated with hallux valgus and bunion deformity. Follow-up at 8 months to 33 years after surgery revealed good or excellent clinical results in 95%. The time to follow-up was in excess of 5 years in 101 (36%) of the procedures, beyond 10 years in 62 (22%), and longer than 20 years in 23 (8%). Unlike other available surgical options for this debilitating condition, biomechanics of the hallux metatarsophalangeal joint remained unaffected and problems associated with prosthetic wear or mechanical failure were not encountered.

引用

页码：575 / 580

页数：6

共 49 条

[1]

Bass S.J., Gastwirth C.M., Green R., Knights E.M., Weinstock R.E., Phagocytosis of silastic material following silastic great toe replacement, J. Foot Surg., 17, pp. 70-72, (1978)

[2]

Berkenstock O.L., Issues concerning possible cobalt-chromium carcinogenicity: a literature review and discussion, Contemp. Orthop., 24, pp. 265-278, (1992)

[3]

Bonney G., MacNab I., Hallux valgus and hallux rigidus, J. Bone Joint Surg., 34B, pp. 366-385, (1952)

[4]

Brewood A.F.M., Griffiths J.C., The long term results of single stem silastic arthroplasty of the great toe, J. R. Coll. Surg. Edinb., 30, pp. 159-161, (1985)

[5]

Broughton N.S., Doran A., Meggitt B.F., Silastic ball spacer in the management of hallux valgus and hallux rigidus, Foot Ankle, 10, pp. 61-64, (1989)

[6]

Chana G.S., Andrew T.A., Cotteril C.P., A simple method of arthrodesis of the first metatarsophalangeal joint, J. Bone Joint Surg., 66B, pp. 703-705, (1984)

[7]

Cohn I., Kanat I.O., Functional limitation of motion of the first metatarsophalangeal joint, J. Foot Surg., 23, pp. 477-484, (1984)

[8]

Coughlin M.J., Arthrodesis of the first metatarsophalangeal joint, Orthop. Rev., 19, pp. 177-186, (1990)

[9]

Coughlin M.J., Mann R.A., Arthrodesis of the first metatarsophalangeal joint as a salvage for the failed Keller procedure, J. Bone Joint Surg., 69A, pp. 68-75, (1987)

[10]

Drago J.J., Oloff L., Jacobs A.M., A comprehensive review of hallux limitus, J. Foot Surg., 23, pp. 213-220, (1984)

← 1 2 3 4 5 →