1st metatarso-phalangeal joint arthroplasty with ROTO-glide implant

Tunstall, C.; Laing, Peter; Limaye, Rajiv; Walker, Christopher; Kendall, Simon; Lavalette, David; Mackenney, P.; Adedapo, A.; Al-Maiyah, M.

doi:10.1016/j.fas.2017.07.005

Cited by 10 publications

(4 citation statements)

References 8 publications

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“…Roto-glide (Implants-International, Stockton-on-Tees, UK), Toefit-Plus (Smith and Nephew, Watford, UK), Metis (Integra, Plainsboro, New Jersey, USA), and Bio-Action (Osteomed, Addison, Texas, USA) and threecomponent implants which have shown good early results [27][28][29][30]. In our earlier series (Karpe et al [31]), we reported a revision rate of 8.8% in 28 patients at a mean follow-up of 2.3 years with a Roto-glide implant.…”

Section: Discussionmentioning

confidence: 99%

Silastic Joint Arthroplasty as a Joint-Preserving Alternative for End-Stage Hallux Rigidus: Outcomes From 112 First Metatarsophalangeal Joint Arthroplasties

Sethi,

Limaye,

Alderton

et al. 2023

Cureus

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Aim Osteoarthritis of the first metatarsophalangeal joint (MTPJ) is a common forefoot problem affecting patients in later years. It leads to pain, gait problems, and difficulty with activities of daily living. Treatment is controversial and varies according to patient symptoms and surgeon preference. Arthrodesis remains the gold standard but it has its own complications. It is associated with adjacent joint arthritis and transfer metatarsalgia. The aim of this study was to analyze the outcome of double-stemmed silastic joint arthroplasty (Wright-Medical, Memphis, TN) for end-stage hallux rigidus. Methods This retrospective analysis included 117 consecutive first MTPJ silastic arthroplasties done between January 2016 and February 2023 for end-stage hallux rigidus. There were 77 females and 40 males with a mean age of 65 years (46-82 years). Radiological and clinical assessments were performed, and patient-reported outcome measure data (PROMS) and visual analogue scale (VAS) scores were collected pre- and post-operatively. Results Findings showed 99.1% survivorship following a silastic joint arthroplasty with a mean follow-up of four years (six months to seven years). The MOXFQ (Manchester Oxford Foot Questionnaire) score improved from a mean of 81 (59.8-100) to 13 (0-57). The mean VAS scores improved from 7.2 (5-10) to 1.5 (0-7) postoperatively. Five patients were lost to follow-up. Two patients developed deep infection and one required revision. The other patient with infection was lost to follow-up. In total 10 patients (8.9%) developed complications, out of which eight patients responded to simple treatments. Conclusion Results have shown good to excellent outcomes following a silastic arthroplasty of the first MTPJ for the treatment of end-stage hallux rigidus. The survivorship at a mean follow-up of four years was 99.1% and the patient satisfaction rate was 90.1%. As historically reported, we did not see any soft tissue reaction or progressive osteolysis in any of our patients. It provides comparable and predictable outcomes to joint fusion for end-stage arthritis.

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Section: Discussionmentioning

confidence: 99%

Silastic Joint Arthroplasty as a Joint-Preserving Alternative for End-Stage Hallux Rigidus: Outcomes From 112 First Metatarsophalangeal Joint Arthroplasties

Sethi,

Limaye,

Alderton

et al. 2023

Cureus

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“…A artrodese metatarsofalangeana é o padrão-ouro para o tratamento dos estágios avançados do hallux rigidus. A via de acesso pode ser dorsal ou medial e muitos tipos de fixação podem ser usados como por exemplo: placa, parafuso canulado, fios de Kirschner, associação de métodos e outros dispositivos (15) . Alguns autores mostram bons resultados em longo prazo da artrodese independentemente do implante utilizado (16)(17)(18) .…”

Section: Discussionunclassified

Treatment of hallux rigidus with percutaneous arthrodesis

et al. 2018

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Objective: The objective of this study was to describe the percutaneous arthrodesis technique with single medial portal of the first metatarsophalangeal joint and to evaluate the results of a series of nine cases (10 feet) with a diagnosis of hallux rigidus subjected to this technique, comparing the results with literature data regarding the conventional technique. Methods: This was a retrospective, observational study performed by analysis of medical records and radiographs of nine patients undergoing percutaneous arthrodesis of the hallux metatarsophalangeal joint. Gender, age, consolidation time, level of postoperative pain and degree of patient satisfaction were evaluated. Results: Eight patients were female, and one patient was male. The mean age was 68.7 years, the mean consolidation time was 8 weeks, the consolidation ratio was 70%, there was pain improvement in the postoperative period, and all patients considered themselves satisfied with the surgery. Conclusion: Percutaneous arthrodesis of the metatarsophalangeal hallux joint potentially yields results similar to those of the conventional method demonstrated in the literature but uses smaller incisions.Level of Evidence IV, Therapeutic Studies, Case Series.

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“…Eine der heute erhältlichen Prothesen ist die Roto-Glide-Prothese (Implants International, Cleveland, UK). Die Roto-Glide-Implantation führte zur Verbesserung der Beweglichkeit und des AOFAS-Scores 38 39 40 .…”

Section: Operative Therapieunclassified