First Metatarsophalangeal Joint Implant Options

Michelle L Butterworth; Maria Ugrinich

doi:10.1016/j.cpm.2019.07.003

First Metatarsophalangeal Joint Implant Options

Clin Podiatr Med Surg. 2019 Oct;36(4):577-596. doi: 10.1016/j.cpm.2019.07.003.

Authors

Michelle L Butterworth¹, Maria Ugrinich²

Affiliations

¹ Williamsburg Regional Hospital, 500 Thurgood Marshall Hwy, Suite B, Kingstree, SC 29556, USA. Electronic address: mbutter@ftc.net.
² Penn Presbyterian Medical Center, 1317 Lombard Street, Philadelphia, PA 19147, USA.

PMID: 31466569
DOI: 10.1016/j.cpm.2019.07.003

Abstract

Evidence-based medicine continues to guide our treatment of patients. Owing to the unique characteristics of the first metatarsophalangeal joint (1^st MTPJ) with its small surface area and the significant amount of multiplanar force that affects it, finding the perfect implant to allow motion and alleviate pain is still the ultimate goal. While some of the older metallic implants and silastic spacers may still be providing pain relief and function to patients, the majority have failed and caused significant bone loss along the way. The HemiCap implants have shown some promise in select patients and may still be a viable option in patients desiring maintenance of 1st MTPJ motion.

Keywords: Implants; Joint implant; MTPJ.

Publication types

Review

MeSH terms

Arthroplasty / instrumentation*
Hallux*
Humans
Joint Diseases / surgery*
Metatarsophalangeal Joint*
Prostheses and Implants*
Prosthesis Design