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First Metatarsophalangeal Joint Implant Options.

Abstract
Evidence-based medicine continues to guide our treatment of patients. Owing to the unique characteristics of the first metatarsophalangeal joint (1st MTPJ) with its small surface area and the significant amount of multiplanar force that affects it, finding the perfect implant to allow motion and alleviate pain is still the ultimate goal. While some of the older metallic implants and silastic spacers may still be providing pain relief and function to patients, the majority have failed and caused significant bone loss along the way. The HemiCap implants have shown some promise in select patients and may still be a viable option in patients desiring maintenance of 1st MTPJ motion.
AuthorsMichelle L Butterworth, Maria Ugrinich
JournalClinics in podiatric medicine and surgery (Clin Podiatr Med Surg) Vol. 36 Issue 4 Pg. 577-596 (Oct 2019) ISSN: 1558-2302 [Electronic] United States
PMID31466569 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2019 Elsevier Inc. All rights reserved.
Topics
  • Arthroplasty (instrumentation)
  • Hallux
  • Humans
  • Joint Diseases (surgery)
  • Metatarsophalangeal Joint
  • Prostheses and Implants
  • Prosthesis Design

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