First Metatarsophalangeal Joint Replacement Using the Bio-Action Great Toe Implant: Intermediate Results

Pulavarti, Ramnadh S.; McVie, James L.; Tulloch, C.J.

doi:10.1177/107110070502601206

Cited by 68 publications

(41 citation statements)

References 15 publications

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“…In literature, the rate of radiolucent lines around the implants after total first MTP joint replacement varies between 3.1% and 33% [9,12,13,24,30,32]. It can be argued that, in our series, a longer follow-up is required in order to fully assess the clinical and radiological outcomes.…”

Section: Discussionmentioning

confidence: 97%

“…The clinical outcomes after first MTP arthroplasty are satisfactory, even though controversial results have been reported concerning revision rates of hemi-and total arthroplasty [10,12,13,23,24,27,30,32].…”

Section: Introductionmentioning

confidence: 87%

“…Revision surgery was necessary for 11 patients due to infection, dislocation, chronic pain, aseptic loosening, persistent stiffness and traumatic loosening. Pulavarti et al [30] prospectively followed 48 patients, treated by BioAction great toe implant (Osteomed, Addison, TX), for an average of 47 months. Seventy-seven percent of patients rated their satisfaction as either excellent or good.…”

Section: Discussionmentioning

confidence: 99%

“…Seventy-seven percent of patients rated their satisfaction as either excellent or good. Two patients underwent revision surgery: one was treated with arthrodesis and one with resection arthroplasty [30]. Olms and Dietze performed a review of 21 patients after Bio-Action great toe implantation with a minimum follow-up of 24 months.…”

Section: Discussionmentioning

confidence: 99%

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Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

Daniilidis

Martinelli

Marinozzi

et al. 2010

International Orthopaedics (SICOT)

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First metatarsophalangeal joint replacement is an alternative surgical procedure to arthrodesis in the treatment of moderate-to-severe hallux rigidus. However, few studies have been published about functional outcome after joint reconstructive procedures for hallux rigidus. The purpose of this study was to assess clinical, radiological and functional outcome, with special regard to recreational and sports activity, after first metatarsophalangeal joint replacement in patients affected by hallux rigidus grade III. Twenty-three patients who had undergone total joint replacement of the first metatarsophalangeal joint were examined preoperatively and three, six, 12 and 18 months postoperatively. All patients (mean age of 57.0±3.7 years) received a non-cemented TOEFIT-PLUS™ implant by one surgeon. Clinical scores (AOFAS score and VAS), radiological examination, patient satisfaction and sport participation were used to evaluate treatment outcome and radiolucent lines. The mean AOFAS score showed a significant improvement from 44.6±7.2 points preoperatively to an average of 82.5±14.4 points at last follow-up (p<0.001). The mean total ROM of the first MTP joint increased from 28.1±4.9 degrees preoperatively to 52.7±15.7 degrees postoperatively (p<0.001). After surgery, 91.3% of the patients were able to resume at least one recreational activity. Total arthroplasty for the treatment of hallux rigidus in an active patient population revealed good clinical and functional results. However, postoperative recreational sport activity showed a decrease in comparison to the pre-arthritic state. Further follow-up is necessary to quantify loosening risk in active patients after total hallux arthroplasty.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

Daniilidis

Martinelli

Marinozzi

et al. 2010

International Orthopaedics (SICOT)

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“…Pulavarti y colaboradores, realizaron una gran serie prospectiva de la aplicación de pró-tesis articulares en 48 pacientes (53 implantes) y un seguimiento medio de 47 meses (mínimo 36 meses), lo cual es aceptable. Debido a los criterios de exclusión, no se incluyeron 17 reemplazos articulares 49 .…”

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Meta-analysis of First Metatarsophalangeal Joint Implant Arthroplasty

Cook

Rosenblum

et al. 2009

The Journal of Foot and Ankle Surgery

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Resumen. El Hallux Rígidus (HR) afecta a la primera articulación metatarsofalángica (AMTF) entre el 35% y el 60% de la población mayor de 65 años y existen múltiples vías de tratamiento. En función del estadio radiológico en el que se encuentre la deformidad, se determina el procedimiento a realizar; en los estadios iniciales se realiza las técnicas de queilectomia y osteotomías correctoras mientras que en las clasificaciones más avanzadas, el cirujano escoge entre las técnicas consideradas destructivas como la artrodesis y la artroplastia. Este trabajo de fin de grado tiene como objetivo centrarse en las técnicas destructivas en 1 AMTF, para aclarar cuál de los procedimientos genera mejores resultados según una serie de parámetros; los resultados de la escala American Orthopaedic Foot and Ankle Society-Hallux Metatarsophalangeal Interphalangeal scale (AOFAS), rango de movimiento (ROM) de la 1ºAMTF, clasificación radiológica. En cuanto a la técnica de artroplastias por implante, este artículo nos ofrece información sobre el material y diseño qué genera mejores resultados relacionándolo con las características del paciente como la edad, la presencia de patologías inflamatorias articulares, la viabilidad y la durabilidad del implante. La conclusión obtenida en esta revisión es que los valores obtenidos en la artrodesis según AOFAS disminuyen debido a la pérdida de movilidad, pero ambas técnicas presentan valores similares de efectividad y concluye con la decisión de que la técnica a utilizar se determina teniendo en cuenta varios factores y características del paciente. Palabras clave: Hallux rígidus; Hallux rígidus y tratamientos quirúrgicos; Hallux rígidus y Artrodesis; Hallux rígidus y Artroplastia; Hallux rígidus (Artroplastia y Artrodesis).[en] Hallux rigidus: Arthroplasty or arthrodesis. What technique produces better results?Abstract. Hallux rígidus (HR) affects the first metatarsophalangeal joint (MTPJ) between 35% and 60% of the population over 65 years and there are multiple ways of treatment. Depending on the radiological stage where you find the deformity determines the procedure to be performed; in the early stages cheilectomy techniques and corrective osteotomy is performed while the more advanced ratings, the surgeon chooses destructive techniques considered as arthrodesis and arthroplasty. This final of degree project aims to focus on 1 MTPJ destructive techniques to clarify which of the procedures generates better results by a number of parameters; outcomes of the American Orthopaedic Foot scale and Ankle Society Hallux metatarsophalangeal Interphalangeal-scale (AOFAS), range of motion (ROM) of the 1ºAMTF, radiological classification. As for the implant arthroplasty technique, this article offers information on material and design that generates better relating to patient characteristics such as age, inflammatory joint diseases, viability and durability of the implant results. The conclusion from this review is that the values obtained in the arthrodesis according AOFAS decrease due to loss of mob...

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Fusion vs. Arthroplasty in the Treatment of 1st MTP Arthritis

Tan

Yee

Lau

2011

Evidence‐Based Orthopedics

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First Metatarsophalangeal Joint Replacement Using the Bio-Action Great Toe Implant: Intermediate Results

Abstract: Overall, the 5-year functional results of this total joint system appeared to be satisfactory.

Cited by 68 publications

References 15 publications

Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study

Meta-analysis of First Metatarsophalangeal Joint Implant Arthroplasty

Fusion vs. Arthroplasty in the Treatment of 1st MTP Arthritis

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