Total Arthroplasty of 1st Metatarsophalangeal Joint. Short-Term Results

During the period from April to December 2011 seventeen total arthroplasties of 1 st metatarsophalangeal joint for III—IV stage deforming osteoarthrosis was performed to 11 patients (7 men, 4 women) aged 39—68 years. In 9 cases bone cement was used for implant fixation, in the rest of cases — press-fit technique. In 3 cases Goman operation was simultaneously performed on 2—3 toes, in 1 case Weil osteotomy was performed. Treatment results were assessed by AOFAS scale. Mean follow up term made up 8.6 months. Excellent and good results were achieved in 8 (72.7%) patients, satisfactory — in 2 (18.2%), poor — in 1 (9.1%) patient. Total arthroplasty of 1 st metatarsophalangeal joint is an alternative to arthrodesis and enabled to restore both joint function and stability.