RESUMEN
BACKGROUND: This study reviews our mid-term results and patient satisfaction using the Futura hemi-great toe implant. MATERIALS AND METHODS: The authors were able to contact 11 of 15 patients. They were seen for chart review and mid-term evaluation. RESULTS: All patients but one were improved and satisfied at mid-term followup (average, 8 years). The one unsatisfied patient had Grade IV arthritis at the time of surgery. CONCLUSION: Futura hemi-great toe implants lead to an 83% good to excellent mid-term results and over 92% patient satisfaction with no measureable subsidence of the implant over an 8-year average followup. Patients with Grade IV Hallux Rigidus should not be considered for Hemi-Great Toe implants and are probably best served with arthrodesis or interpositional arthroplasty at this time.
Asunto(s)
Artroplastia de Reemplazo , Hallux Rigidus/cirugía , Hallux/cirugía , Prótesis Articulares , Articulación del Dedo del Pie/cirugía , Adulto , Anciano , Femenino , Hallux/diagnóstico por imagen , Hallux Rigidus/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Cuidados Posoperatorios , RadiografíaRESUMEN
BACKGROUND: We reviewed the mid-term results of metatarsophalangeal hemiarthroplasty with titanium hemi-great toe implants. This study may help with future prosthetic design and evaluation leading to improved management and patient satisfaction. METHODS: Ten of 12 patients were contacted more than 2.5 years after surgery. Their charts were reviewed, and they were evaluated clinically and radiographically. RESULTS: All patients were improved and satisfied in the first 5 years after surgery, but subsidence and lucency in all patients and a painful fracture in one patient bring long-term implant survival into question. The ultimate longevity of the implant and its long-term functionality should be questioned. CONCLUSIONS: Metallic hemi-great toe implants have satisfactory mid-term results. Improved prosthetic design may lead to less implant subsidence and stem lucency.