One-stage aseptic revision of loosened metatarsophalangeal prosthesis

The high loosening rate of the Moje prosthesis in the treatment of hallux rigidus caused disappointing medium term results. Arthrodesis using an iliac crest bone graft is the standard salvage procedure. We present short-term results after one-stage revision of the metatarsophalangeal joint using the...

Full description

Saved in:
Bibliographic Details
Published in:Der Orthopäde 2011-06, Vol.40 (6), p.554
Main Authors: Gutteck, N, Zeh, A, Wohlrab, D, Vasarhelyi, A
Format: Article
Language:ger
Subjects:
Adult
Arthroplasty - instrumentation
Arthroplasty - methods
Equipment Failure Analysis
Female
Humans
Joint Instability - etiology
Joint Instability - surgery
Joint Prosthesis - adverse effects
Male
Metatarsophalangeal Joint - surgery
Prosthesis Design
Prosthesis-Related Infections - etiology
Prosthesis-Related Infections - prevention & control
Treatment Outcome
Young Adult
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The high loosening rate of the Moje prosthesis in the treatment of hallux rigidus caused disappointing medium term results. Arthrodesis using an iliac crest bone graft is the standard salvage procedure. We present short-term results after one-stage revision of the metatarsophalangeal joint using the TOEFIT-PLUS™ prosthesis for implant revision. Clinical and radiological examinations were performed on three metatarsophalangeal joints after explantation of the Moje prosthesis and one-stage revision using the TOEFIT-PLUS™ prosthesis for implant revision. The AOFAS score and VAS were checked preoperatively and 6 and 12 months after surgery.Good to very good short-term results after one-stage revision of the metatarsophalangeal joint using the TOEFIT-PLUS™ prosthesis for implant revision could be demonstrated in this study. One-stage revision of the arthroplasty of the metatarsophalangeal joint can increase the range of motion and avoid arthrodesis entailing iliac crest bone graft morbidity.
ISSN:1433-0431
DOI:10.1007/s00132-010-1699-9