title: First metatarsophalangeal joint arthroplasties in the Commonwealth of Virginia.
abstract: This retrospective analysis of arthroplasty of the first metatarsophalangeal joint documents the incidence of surgery as well as the selection of the commercially available implants. During a 1-year period, 1994, arthroplasties were performed in 47 of the 1.7 million subscribers to Trigon Blue Cross Blue Shield of Virginia. Women received the majority of the arthroplasties (83%). Of the 47 cases, the silicone implant was predominantly used (83%). The most common indications for arthroplasty were hallux valgus (30%) and hallux rigidus (28%). Podiatrists performed 79% of the procedures, while orthopedic surgeons performed the remaining 21% of the cases. A prospective study is needed that will assess the long-term performance of the different implants.
authors.affiliation: Department of Plastic Surgery, University of Virginia School of Medicine, Charlottesville 22908, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: O'Keefe
authors.forename: J
authors.initials: J
authors.lastname: Schweitzer
authors.forename: D J
authors.initials: DJ
authors.lastname: Bentrem
authors.forename: W P
authors.initials: WP
authors.lastname: Glasheen
authors.forename: R F
authors.initials: RF
authors.lastname: Edlich
mesh_terms: D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000503:physiopathology / Q000601:surgery*; D007595:Joint Prosthesis / Q000379:methods / Q000706:statistics & numerical data; D008297:Male; D008683:Metatarsophalangeal Joint / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D017678:Sex Distribution; D012828:Silicones; D014768:Virginia