[One-stage aseptic revision of loosened metatarsophalangeal prosthesis].

Abstract

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.

• Authors: N Gutteck, A Zeh, D Wohlrab, A Vasarhelyi
• Journal: Der Orthopade (Orthopade) Vol. 40 Issue 6 Pg. 554-8 (Jun 2011) ISSN: 1433-0431 [Electronic] Germany
• Vernacular Title: Einzeitiger aseptischer Wechsel gelockerter Grosszehengrundgelenkendoprothesen.
• PMID: 21052627 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Arthroplasty (instrumentation, methods)
• Equipment Failure Analysis
• Female
• Humans
• Joint Instability (etiology, surgery)
• Joint Prosthesis (adverse effects)
• Male
• Metatarsophalangeal Joint (surgery)
• Prosthesis Design
• Prosthesis-Related Infections (etiology, prevention & control)
• Treatment Outcome
• Young Adult