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Hinged silastic implants of the great toe.
N S Shankar1, S S Asaad, A D Craxford
1Department of Orthopaedic Surgery, North Tyneside General Hospital, North Shields, Tyne and Wear, England.
Clinical Orthopaedics and Related Research
|November 1, 1991
Summary
Hinged silastic implants offer satisfactory outcomes for hallux valgus and hallux rigidus, outperforming resection arthroplasty. This study evaluated 106 feet, showing positive subjective and objective results.
Area of Science:
- Orthopedic surgery
- Biomaterials science
Background:
- Hinged silastic implants have been utilized since 1982 for hallux valgus and hallux rigidus.
- These implants are preferred over excision arthroplasty or metatarsophalangeal joint fusion.
Purpose of the Study:
- To assess the efficacy of hinged silastic implants in treating hallux valgus and hallux rigidus.
- To compare outcomes with alternative surgical methods.
Main Methods:
- Evaluation of 106 feet in 89 patients treated with hinged silastic implants.
- Follow-up period averaged 27.7 months (range: 12-60 months).
- Subjective and objective assessments were performed.
Main Results:
- Treatment outcomes were satisfactory based on both subjective and objective assessments.
- Hinged prostheses demonstrated advantages over resection arthroplasty.
Conclusions:
- Hinged silastic implants provide a viable and effective treatment option for hallux valgus and hallux rigidus.
- This implant type successfully addresses limitations associated with resection arthroplasty.