[Long-term results of single stem silastic implants in the metatarsophalangeal joint].
OBJECTIVE
Long-term results of single stemmed silicone prostheses.


METHODS
61 feet were reviewed after a mean follow-up time of 13 years.


RESULTS
18 implants (29.5%) have been removed, 7 of them in the first year after operation. The often impressive radiologic changes showed no correlation to the subjective results but a correlation to time. 1/3 of the patients were not satisfied with the outcome. An average of 75% of the prosthesis was destroyed after 10 years, 93.5% were loosened.


CONCLUSIONS
By reason of the high rate of failure of the implant, we have abandoned this procedure.
Ledermann
T
T
Orthopädische Universitätsklinik Balgrist, Zürich.
Klingler
U
U
Zollinger
H
H
D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D012826:Silicone Elastomers
D012826:Silicone Elastomers