title: Results of metallic Hemi-Great Toe Implant for Grade III and early Grade IV hallux rigidus.
abstract: BACKGROUND
  The authors the short-term and mid-term results of patients with their preoperative status who were surgically treated for advanced Grade III and early Grade IV symptomatic hallux rigidus using the Futura Hemi-Great Toe Implant.
  
  
  METHODS
  The authors were able to contact 23 of 33 consecutive patients. They had a detailed evaluation preoperatively and came in for a detailed mid-term evaluation. Some of the patients were able to come in routinely for detailed periodic evaluations.
  
  
  RESULTS
  Periodic evaluations showed most patients had a gradual improvement of function over the first 2 years. Patients with early Grade IV disease had a greater propensity to develop early recurrence of their dorsal osteophyte at or before their mid-term followup (average 6 years). In this group of patients, the Futura Hemi-Great Toe Implants lead to 88% good to excellent mid-term results and 88% patient satisfaction over a 6-year average followup.
  
  
  CONCLUSIONS
  Patients with early Grade IV hallux rigidus tend to develop progressive sesamoid arthritis and recurrent dorsal osteophyte formation more rapidly than advanced Grade III patients.
authors: Advanced Healthcare, Falls Division, Orthopaedics, N84W16889 Menomonee Ave., Menomonee Falls, WI 53051, USA. kkonke@ah.com
authors: Kurt F
authors: KF
authors: Konkel
authors: Andrea G
authors: AG
authors: Menger
authors: Sharon A
authors: SA
authors: Retzlaff
mesh_terms: D019643:Arthroplasty, Replacement; D015331:Cohort Studies; D005260:Female; D020859:Hallux Rigidus / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008670:Metals; D008683:Metatarsophalangeal Joint; D008875:Middle Aged; D011474:Prosthesis Design; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D016474:Weight-Bearing
chemical_list: D008670:Metals