[Long-term results of single stem silastic implants in the metatarsophalangeal joint].

AIM OF THE STUDY: Long-term results of single stemmed silicone prostheses. METHOD: 61 feet were reviewed after a mean follow-up time of 13 years. RESULTS: 18 implants (29.5%) have been removed, 7 of them in the first year after operation. The often impressive radiologic changes showed no correlation to the subjective results but a correlation to time. 1/3 of the patients were not satisfied with the outcome. An average of 75% of the prosthesis was destroyed after 10 years, 93.5% were loosened. CONCLUSION: By reason of the high rate of failure of the implant, we have abandoned this procedure.