Results of metallic Hemi-Great Toe Implant for Grade III and early Grade IV hallux rigidus.
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.
Konkel
Kurt F
KF
Advanced Healthcare, Falls Division, Orthopaedics, N84W16889 Menomonee Ave., Menomonee Falls, WI 53051, USA. kkonke@ah.com
Menger
Andrea G
AG
Retzlaff
Sharon A
SA
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
D008670:Metals