Total replacement of the first metatarsophalangeal joint
| Autor: | R. J. J. Wenger, R. C. Whalley |
|---|---|
| Rok vydání: | 1978 |
| Předmět: |
Adult
Male medicine.medical_specialty Joint Prosthesis medicine.medical_treatment Osteotomy Prosthesis Objective assessment Foot Diseases Hallux rigidus Postoperative Complications medicine Humans Orthopedics and Sports Medicine Hallux Valgus Aged Wound Healing biology business.industry First metatarsal Middle Aged Silastic medicine.disease biology.organism_classification Surgery Radiography Valgus Hallux Female business Follow-Up Studies |
| Zdroj: | The Journal of Bone and Joint Surgery. British volume. :88-92 |
| ISSN: | 2044-5377 0301-620X |
| DOI: | 10.1302/0301-620x.60b1.627585 |
| Popis: | Various prostheses for total replacement of the first metatarsophalangeal joint for painful hallux valgus and hallux rigidus are briefly discussed. Altogether, the results of eighty-six replacements in sixty-nine patients have been recorded after an average interval of two years. In seventy-eight operations a Silastic* prosthesis as designed by Swanson for the replacement of metacarpophalangeal joints was used, with no case of fracture or deep infection up to date. Overall, the assessment of pain showed that 98 per cent of operations gave either complete or considerable relief. For hallux valgus, the objective assessment showed excellent or good results in 79 per cent, fair in 16 per cent and poor in 5 per cent. For hallux rigidus the corresponding figures were 86, 14 and 0. The technique of replacement described promises to be most satisfactory, especially for hallux rigidus. In selected cases of hallux valgus, a basal osteotomy of the first metatarsal should be added. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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