How To Salvage A Failed First MPJ Implant

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Here is a preoperative radiograph of a symptomatic failed silastic implant with varus subluxation of the hallux on the second and third digits. This anterior-posterior view shows extensive cystic change of the proximal phalanx and the first metatarsal hea
These intraoperative photographs show the first metatarsophalangeal joint with the silicone implant removed. Note the erosion of the proximal phalanx and the first metatarsal head.
This intraoperative photograph shows the structural tricortical iliac crest graft.
This intraoperative photo shows the graft in place with internal fixation.
These intraoperative photographs show the first metatarsophalangeal joint with the silicone implant removed. Note the erosion of the proximal phalanx and the first metatarsal head.
By Graham A. Hamilton, DPM

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