Mid-term outcomes of first metatarsophalangeal arthroplasty using the Primus FGT double-stemmed silicone implants.
Foot Ankle Surg
; 23(3): 142-147, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-28865580
ABSTRACT
BACKGROUND:
Silicone implants for first metatarsophalangeal (MTP-1) arthroplasty are regaining popularity, though most studies have long inclusion periods, or short follow-up. The authors aimed to report mid-term outcomes of a cohort that received a third-generation MTP-1 implant at minimum follow-up of 5 years.METHODS:
The authors evaluated 70 MTP-1 arthroplasties performed in 64 patients using the Primus™ Flexible Great Toe implant. The indications were hallux rigidus of grade II (10%) and grade III (87.1%) or revision surgery (2.9%).RESULTS:
All patients completed clinical and radiographic assessments at 83.5 months (range, 62-114). There were no revisions or reoperations and the AOFAS-HMI score was 88.9±9.1 (median, 90; range, 67-100). Metatarsalgia was 'absent' in 47.1%, 'mild' in 41.1%, 'moderate' in 7.1% and 'severe' in 1.4%.CONCLUSION:
This study reported excellent mid-term clinical outcomes and survival rates of a third generation MTP-1 arthroplasty design and confirmed findings of recent studies regarding efficacy of silicone double-stemmed implants. LEVEL OF EVIDENCE Level IV case series.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Substituição
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Hallux Rigidus
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Articulação Metatarsofalângica
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Foot Ankle Surg
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2017
Tipo de documento:
Article