Article

Reported below are the functional results of a case-series of Gelfoam((R))-based
first metatarsophalangeal total joint replacements using an interposition
arthroplasty technique carried out between April 1997 and December 2007. All
patients who underwent Gelfoam-based arthroplasty under the care of a single
surgeon were included; outcome scores and complications were recorded. A total of
31 joints in 31 consecutive patients were followed for a mean duration of 64
(range 24-150) months, and the mean patient age at the time of operation was
48+/-9 (range 35-80) years. Hallux rigidus was the primary diagnosis in all of
the cases except one in which a failed chevron ostetomy was the indication for
treatment. The mean American Orthopaedic Foot & Ankle Society
Hallux-Metatarsophalangeal-Interphalangeal score increased from an average of 35
pre-operatively to an average of 74 at final follow-up (range 67-100), with 20
(64.5%) joints rated good to excellent. One (3.5%) joint was fused 6 months after
the arthroplasty procedure. Based on these results, we concluded that first MTPJ
total joint Gelfoam-based interpostion arthroplasty is a cheap alternative to
other joint replacement systems for the MTP joint. The results appear similar to
those achieved using more expensive devices.
CI - Copyright (c) 2011 Elsevier Ltd. All rights reserved.

Langue : ANGLAIS