Hemiarthroplasty augmented with bone graft for the failed hallux metatarsophalangeal Silastic® implant



Anakwe, R E and Middleton, S D and Thomson, Colin E and McKinley, J C (2011) Hemiarthroplasty augmented with bone graft for the failed hallux metatarsophalangeal Silastic® implant. Foot and Ankle Surgery, 17 (3). e43-e46. ISSN 1268-7731

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Abstract

Symptomatic failure of Silastic1 implants at the hallux metatarsophalangeal joint can result in the challenging problem of instability which may be painful. There is often marked bone loss making reconstruction difficult. Arthrodesis sacrifices joint movement while excision arthroplasty shortens the ray and is less acceptable to active patients. We describe a case in which reconstruction was achieved by using a porous coated metatarsophalangeal hemiarthroplasty augmented with bone graft with good early results. This previously unreported technique may offer an additional surgical option for reconstruction, maintaining joint movement without compromising future arthrodesis or excision arthroplasty as salvage measures. Long term follow up is required to confirm the success of this technique.

Item Type: Article
Uncontrolled Keywords: Silastic Hallux rigidus Metatarsophalangeal joint BioPro hemiarthroplasty
Divisions: School of Health Sciences > Podiatry
Date Deposited: 05 Aug 2011 10:02
Last Modified: 19 Mar 2014 12:59
URI: http://eresearch.qmu.ac.uk/id/eprint/2470

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