[Swanson silastic implant arthroplasty in pathology of the metatarsophalangeal joint of the great toe].
Fifty-one disorders of the metatarsophalangeal joint of the Great Toe have been treated by implantation of a Swanson silastic prosthesis. A finger-joint device was used in 29 cases and a Great Toe device in 22 cases. The pathological lesions were degenerative arthrosis, rheumatoid arthritis or failure of preceding procedures. The mean follow-up was 3 years. In more than 2 cases out of 3 pain was abolished. Joint movement was only slightly improved but there was a better range of dorsiflexion and an improved gait. The axis of the Great Toe was generally satisfactory and pre-existing deformity was corrected in 3 cases out of 4. These results are satisfactory in the short term and were better with the Great Toe device. Osteophytic reaction may be the cause of long-term failures.
D001178:Arthroplasty / Q000379:methods*; D005260:Female; D006214:Hallux / Q000000981:diagnostic imaging / Q000601:surgery*; D006215:Hallux Valgus / Q000601:surgery; D006801:Humans; D007592:Joint Diseases / Q000601:surgery; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D019736:Prostheses and Implants; D011859:Radiography; D012826:Silicone Elastomers; D014033:Toe Joint / Q000601:surgery*
D012826:Silicone Elastomers
L'arthroplastie par implant silastic de type Swanson dans la pathologie de la métatarso-phalangienne du gros orteil.