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Surgical Management of Failed First Metatarsophalangeal Joint Arthroplasty.

Publication ,  Journal Article
Anastasio, AT; Shaffrey, I; Easley, ME
Published in: Foot Ankle Clin
September 2024

This article describes the etiology, clinical presentation, surgical management, and outcomes for treatment of the failed first metatarsophalangeal (MTP) joint arthroplasty. Failure following implant arthroplasty typically creates large osseous deficits and surgical management can be difficult. Salvage arthrodesis provides reliable joint stability while maintaining hallux length. Outcomes following conversion of a failed MTP joint arthroplasty to MTP joint arthrodesis have demonstrated consistent pain relief and high satisfaction: however, high rates of complication and nonunion have been reported. Bone graft may be necessary to fill large voids in the joint. Other revision options for failed arthroplasty have been described, but outcomes remain inconsistent and varied. Ultimately, conversion to MTP joint arthrodesis is the recommended intervention for treatment of the failed MTP arthroplasty implant, providing sufficient stability and pain relief.

Duke Scholars

Published In

Foot Ankle Clin

DOI

EISSN

1558-1934

Publication Date

September 2024

Volume

29

Issue

3

Start / End Page

541 / 556

Location

United States

Related Subject Headings

  • Treatment Failure
  • Reoperation
  • Orthopedics
  • Metatarsophalangeal Joint
  • Humans
  • Hallux Rigidus
  • Arthroplasty, Replacement
  • Arthrodesis
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Anastasio, A. T., Shaffrey, I., & Easley, M. E. (2024). Surgical Management of Failed First Metatarsophalangeal Joint Arthroplasty. Foot Ankle Clin, 29(3), 541–556. https://doi.org/10.1016/j.fcl.2023.12.009
Anastasio, Albert T., Isabel Shaffrey, and Mark E. Easley. “Surgical Management of Failed First Metatarsophalangeal Joint Arthroplasty.Foot Ankle Clin 29, no. 3 (September 2024): 541–56. https://doi.org/10.1016/j.fcl.2023.12.009.
Anastasio AT, Shaffrey I, Easley ME. Surgical Management of Failed First Metatarsophalangeal Joint Arthroplasty. Foot Ankle Clin. 2024 Sep;29(3):541–56.
Anastasio, Albert T., et al. “Surgical Management of Failed First Metatarsophalangeal Joint Arthroplasty.Foot Ankle Clin, vol. 29, no. 3, Sept. 2024, pp. 541–56. Pubmed, doi:10.1016/j.fcl.2023.12.009.
Anastasio AT, Shaffrey I, Easley ME. Surgical Management of Failed First Metatarsophalangeal Joint Arthroplasty. Foot Ankle Clin. 2024 Sep;29(3):541–556.
Journal cover image

Published In

Foot Ankle Clin

DOI

EISSN

1558-1934

Publication Date

September 2024

Volume

29

Issue

3

Start / End Page

541 / 556

Location

United States

Related Subject Headings

  • Treatment Failure
  • Reoperation
  • Orthopedics
  • Metatarsophalangeal Joint
  • Humans
  • Hallux Rigidus
  • Arthroplasty, Replacement
  • Arthrodesis