Total Toe Replacement in the United States: What Is Known and What Is on the Horizon.
Arthritis of the first metatarsophalangeal is a common problem of the forefoot. The gold standard surgical treatment has been fusion of the first metatarsophalangeal joint. Many patients are unwilling to accept pain relief at the expense of loss of motion and the corresponding loss of shoe wear choices and activities requiring dorsiflexion of the hallux. Early implants were plagued with loosening and continued pain but implants have evolved. Current implants use modern bearing surfaces with press-fit fixation. These implants have renewed optimism for total toe arthroplasty. This article reviews the literature for implants currently available and describes the surgical techniques.
Division of Orthopaedics, University of Alabama at Birmingham, 1313 13th Street South, Birmingham, AL 35205, USA. Electronic address: michaeljohnson@uabmc.edu.
Michael D
MD
Johnson
Department of Orthopaedics, University of Washington, 1959 Northeast Pacific Street, Box 356500, Seattle, WA 98195, USA.
Michael E
ME
Brage
D001168:Arthritis / Q000000981:diagnostic imaging / Q000601:surgery; D019643:Arthroplasty, Replacement; D020859:Hallux Rigidus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D054850:Osteophyte / Q000000981:diagnostic imaging / Q000601:surgery; D011475:Prosthesis Failure; D014034:Toes / Q000000981:diagnostic imaging / Q000601:surgery; D014481:United States
Bipolar toe arthroplasty; Hallux rigidus; Total toe arthroplasty