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Complications of First Metatarsal Phalangeal Joint Implants

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Complications in Foot and Ankle Surgery

Abstract

The use of first metatarsophalangeal implants has been utilized for hallux limitus and degenerative joint disease for over 30 years. In general, this is a very successful procedure and allows the patient to maintain range of motion while eliminating their pain. There are several different types of implants available: hemi-implant of the base of the proximal phalanx, hemi-implant of the first metatarsal head, and total implant. These are made of several materials: metals and silicone polymers. There are several complications that can occur with these implants, including subsidence, bone overgrowth, and infection. This will require further surgery to correct the problem. The surgery depends on the complication and can range from a debridement to a bone block arthrodesis.

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References

  1. Gibson JN, Thomson CE. Arthrodesis or total replacement arthroplasty for hallux rigidus: a randomized controlled trial. Foot Ankle Int. 2005;26(9):680–90.

    Article  PubMed  Google Scholar 

  2. Cook E, Cook J, Rosenblum B, Landsman A, Giurini J, Basile P. Meta-analysis of first metatarsophalangeal joint implant arthroplasty. J Foot Ankle Surg. 2009;48(2):180–90.

    Article  PubMed  Google Scholar 

  3. McNeil DS, Baumhauer JF, Glazebrook MA. Evidence-based analysis of the efficacy for operative treatment of hallux rigidus. Foot Ankle Int. 2013;34(1):15–32.

    Article  PubMed  Google Scholar 

  4. Fuhrmann RA, Wagner A, Anders JO. First metatarsophalangeal joint replacement: the method of choice for end stage hallux rigidus? Foot Ankle Clin. 2003;8:711–21.

    Article  PubMed  Google Scholar 

  5. Garras DN, Durinka JB, Bercik M, Miller AG, Raikin SM. Conversion arthrodesis for failed first metatarsophalangeal joint hemiarthroplasty. Foot Ankle Int. 2013;34(9):1227–32.

    Article  PubMed  Google Scholar 

  6. Raikin SM, Ahmad J, Pour AE, Abidi N. Comparison of arthrodesis and metallic hemiarthroplasty of the hallux metatarsophalangeal joint. J Bone Joint Surg Am. 2007;899:1979–85.

    Google Scholar 

  7. Myerson MS, Schon LC, Mcguigan FX, Oznur A. Results of arthrodesis of the hallux metatarsophalangeal joint using bone graft for restoration of length. Foot Ankle Int. 2000;21(4):297–306.

    Article  CAS  PubMed  Google Scholar 

  8. Patel DC, Frascone ST, DeLuca A. Synovitis secondary to silicone elastomeric joint implant. J Foot Ankle Surg. 1994;33(6):628–32.

    CAS  PubMed  Google Scholar 

  9. Pugliese D, Bush D, Harrington T. Silicone synovitis: longer term outcome data and review of the literature. J Clin Rheumatol. 2009;15(1):8–11.

    Article  PubMed  Google Scholar 

  10. Schmidt K, Willburger R, Ossowski A, Miehlke RK. The effect of the additional use of grommets in silicone implant arthroplasty of the metatacarpophalangeal joints. J Hand Surg Br. 1999;24(5):561–4.

    Article  CAS  PubMed  Google Scholar 

  11. Sebold EJ, Cracchiolo A. Use of titanium grommets in silicone implant arthroplasty of the hallux metatarsophalangeal joint. Foot Ankle Int. 1996;17(3):145–51.

    Article  CAS  PubMed  Google Scholar 

  12. Anakwe RE, Middleton SD, Thomson CE, McKinley JC. Hemiarthroplasty augmented with bone graft for the failed hallux metatarsophalangeal silastic implant. Foot Ankle Int. 2011;17(3):e43–6.

    Article  Google Scholar 

  13. Hopson M, Stone P, Paden M. First metatarsal head osteoarticular transfer system for salvage of a failed hemicap-implant: a case report. J Foot Ankle Surg. 2009;48:483–7.

    Article  PubMed  Google Scholar 

  14. Stone PA, Barnes ES, Savage T, Paden M. Late hematogenous infection of first metatarsophalangeal joint replacement: a case presentation. J Foot Ankle Surg. 2010;49:489.e1–4.

    Article  Google Scholar 

  15. Parvizi J, Adeli B, Zmistowski B, Restrepo C, Greenwald AS. Management of periprosthetic joint infection: the current knowledge: AAOS exhibit selection. JBJS Am. 2012;94(14):e104.

    Article  PubMed  Google Scholar 

  16. Greisberg J. The failed first metatarsophalangeal joint arthroplasty. Foot Ankle Clin. 2014;19(3):343–8.

    Article  PubMed  Google Scholar 

  17. Pydah SK, Toh EM, Sirikonda SP, Walker CR. Intermetatarsal angular change following fusion of the first metatarsophalangeal joint. Foot Ankle Int. 2009;30(5):415–8.

    Article  PubMed  Google Scholar 

  18. Spangehl MJ, Masri BA, O’Connell JX, Duncan CP. Prospective analysis of preoperative and intraoperative investigations for the diagnosis of infection at the sites of two hundred and two revision total hip arthroplasties. J Bone Joint Surg Am. 1999;81(5):672–83.

    Article  CAS  PubMed  Google Scholar 

  19. Hecht PJ, Gibbons MJ, Wapner KL, Cooke C, Hoisington SA. Arthrodesis of the first metatarsophalangeal joint to salvage failed silicone implant arthroplasty. Foot Ankle Int. 1997;18(7):383–90.

    Article  CAS  PubMed  Google Scholar 

  20. Gross CE, Hsu AR, Lin J, Holmes GB, Lee S. Revision MTP arthrodesis for failed MTP arthroplasty. Foot Ankle Spec. 2013;6(6):471–8.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. 7016 Lee Park Road, Suite 105, Mechanicsville, VA, 23111, USA

    Laurence G. Rubin

  2. Westside Foot and Ankle Specialists, 9900 SW Hall Boulevard Suite #100, Tigard, OR, 97223, USA

    Michael Gentile

Authors
  1. Laurence G. Rubin
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  2. Michael Gentile
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Correspondence to Laurence G. Rubin .

Editor information

Editors and Affiliations

  1. Capital Orthopedics and Sports Medicine, Clive, Iowa, USA

    Michael S. Lee

  2. Akron General Orthopedics, Inc., Akron, Ohio, USA

    Jordan P. Grossman

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Rubin, L.G., Gentile, M. (2017). Complications of First Metatarsal Phalangeal Joint Implants. In: Lee, M., Grossman, J. (eds) Complications in Foot and Ankle Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-53686-6_14

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  • DOI: https://doi.org/10.1007/978-3-319-53686-6_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-53684-2

  • Online ISBN: 978-3-319-53686-6

  • eBook Packages: MedicineMedicine (R0)

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