Tendon arthroplasty of the first metatarsophalangeal joint in hallux rigidus: preliminary communication.
A biological arthroplastic interposition is described for hallux rigidus, in which the rolled plantaris tendon is positioned at the base of the first phalanx. Eleven patients, for a total of 12 feet, underwent surgery using this technique. The average follow-up was 21 months. In all patients, pain and supination gait disappeared. The average metatarsal motion increased 44 degrees in dorsiflexion. The tendon packet seems to be a good biological spacer, because it adapts and models itself to the new joint function.
Barca
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F
Institute of Orthopedics and Traumatology University of Modena, Italy.
D001178:Arthroplasty / Q000379:methods*; D005530:Foot Deformities / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D006214:Hallux / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008683:Metatarsophalangeal Joint / Q000503:physiopathology / Q000601:surgery*; D013710:Tendons / Q000601:surgery*