title: Gelfoam first metatarsophalangeal replacement/interposition arthroplasty--a case series with functional outcomes.
abstract: Reported below are the functional results of a case-series of Gelfoam®-based first metatarsophalangeal total joint replacements using an interposition arthroplasty technique carried out between April 1997 and December 2007. All patients who underwent Gelfoam-based arthroplasty under the care of a single surgeon were included; outcome scores and complications were recorded. A total of 31 joints in 31 consecutive patients were followed for a mean duration of 64 (range 24-150) months, and the mean patient age at the time of operation was 48±9 (range 35-80) years. Hallux rigidus was the primary diagnosis in all of the cases except one in which a failed chevron ostetomy was the indication for treatment. The mean American Orthopaedic Foot & Ankle Society Hallux-Metatarsophalangeal-Interphalangeal score increased from an average of 35 pre-operatively to an average of 74 at final follow-up (range 67-100), with 20 (64.5%) joints rated good to excellent. One (3.5%) joint was fused 6 months after the arthroplasty procedure. Based on these results, we concluded that first MTPJ total joint Gelfoam™-based interpostion arthroplasty is a cheap alternative to other joint replacement systems for the MTP joint. The results appear similar to those achieved using more expensive devices.
authors.affiliation: Foot and Ankle Service, Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Keren Kayemet 7, Petah Tikwa, Israel.
authors.forename: Eyal
authors.initials: E
authors.lastname: Heller
authors.forename: Dror
authors.initials: D
authors.lastname: Robinson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001178:Arthroplasty / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D020859:Hallux Rigidus / Q000145:classification / Q000601:surgery; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D017060:Patient Satisfaction; D011859:Radiography; D016059:Range of Motion, Articular
chemical_list: D006490:Hemostatics