title: Prosthetic replacement of the first metatarsophalangeal joint.
abstract: As an alternative to Keller bunionectomy, Silastic implant replacement, and cheilectomy of the first metatarsophalangeal joint, a custom implant was designed at the Hospital for Special Surgery. Between April 1985 and January 1987, 15 implants were placed in 12 patients. Of these patients, 9 were available for follow-up, 2 were lost to follow-up, and 1 patient had died. A high rate (54.5%) of loosening is observed. Subjective, good, and excellent results were seen in 4 of the 11 feet studied. Further modification of the prosthesis and its fixation method is currently being considered.
authors.affiliation: Hospital for Special Surgery, New York, NY 10021.
authors.forename: P F
authors.initials: PF
authors.lastname: Merkle
authors.forename: T P
authors.initials: TP
authors.lastname: Sculco
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D011474:Prosthesis Design; D014033:Toe Joint / Q000601:surgery*