How To Salvage A Failed First MPJ Implant
- Volume 18 - Issue 5 - May 2005
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Although surgical correction of the failed silicone implant in the first metatarsophalangeal joint can be technically difficult, three surgical treatment options are available: implant removal, implant replacement with a new device and bone block arthrodesis. Distraction arthrodesis is the only option that affords first metatarsophalangeal joint stability and a biomechanically sound first ray, and is the best option for an active person. With careful preoperative and postoperative management, one can achieve optimal outcomes with this procedure.
Dr. Hamilton is affiliated with the Department of Orthopedics and Podiatric Surgery at the Kaiser Permanente Medical Centers in Oakland and Richmond, Calif. He is the Director of Education at the San Francisco Bay Area Foot and Ankle Residency Program, and is a Fellow of the American College of Foot and Ankle Surgeons. The author thanks the Kaiser Foundation Hospital’s Department of Medical Editing for its assistance with this article.
Editor’s Note: For related articles, check out the archives at www.podiatrytoday.com.