Foreign body reaction in a Dacron-meshed hemi-implant

With increased experience in the use of silicone elastomer great toe implants, there has been a commensurate increased incidence of foreign body reaction to these prostheses. In the mid- to late 1970s, the use of Dacron-meshed hemi-implants was abandoned due to the high incidence of such reactions. Although previously thought to be due to the Dacron mesh itself, the authors content that it was, rather, due to the inferior grade of silicone elastomer used in these products.