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Silicone granulomatous reactions after first metatarsophalangeal hemiarthroplasty.

Abstract
We reviewed 55 patients (78 feet) who had undergone silicone hemiarthroplasty of the first metatarsophalangeal joint for hallux valgus (40) or hallux rigidus (38). At a mean period of 4.5 years (1 to 11), 56 feet had radiological evidence suggestive of silicone granulomatous disease. The frequency and severity of the changes increased with time from the operation. Histological material from three revisions confirmed the presence of silicone granulomata. We recommend that the operation of silicone hemiarthroplasty for hallux valgus and hallux rigidus be abandoned.
AuthorsH Rahman, P S Fagg
JournalThe Journal of bone and joint surgery. British volume (J Bone Joint Surg Br) Vol. 75 Issue 4 Pg. 637-9 (Jul 1993) ISSN: 0301-620X [Print] England
PMID8331122 (Publication Type: Journal Article)
Chemical References
  • Silicone Elastomers
Topics
  • Female
  • Follow-Up Studies
  • Granuloma, Foreign-Body (epidemiology, etiology, pathology)
  • Hallux Valgus (complications, pathology, surgery)
  • Humans
  • Joint Diseases (complications, pathology, surgery)
  • Joint Prosthesis (methods, statistics & numerical data)
  • Male
  • Metatarsophalangeal Joint (drug effects, pathology, surgery)
  • Prosthesis Failure
  • Silicone Elastomers (adverse effects)
  • Time Factors

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