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Swanson's silastic implants in great toes

A Sethu, D C D'Netto, B Ramakrishna

The Journal of Bone and Joint Surgery. British Volume

|February 1, 1980

Summary

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Silastic implants in great toe joint surgery show promise for hallux rigidus but long-term results for hallux valgus are unsatisfactory.

Area of Science:

Orthopedic Surgery
Biomaterials Science

Background:

Silastic implants have been utilized in partial replacement and interposition arthroplasties.
Metatarsophalangeal joint arthroplasties are performed for conditions like hallux rigidus and hallux valgus.

Purpose of the Study:

To evaluate the long-term efficacy of Silastic implants in great toe joint arthroplasties.
To compare outcomes for hallux rigidus versus hallux valgus.

Main Methods:

A retrospective review of 77 Silastic implant arthroplasties.
Operations performed on the metatarsophalangeal joints of the great toes in 62 patients between 1971 and 1977.
Patient follow-up ranged from 12 to 92 months, averaging 60 months.

Main Results:

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The procedure demonstrated suitability for hallux rigidus.
Outcomes for hallux valgus were not fully satisfactory in the long term.
Analysis based on 77 procedures in 62 patients over a mean 60-month follow-up.

Conclusions:

Silastic implant arthroplasty may be a viable option for hallux rigidus.
Long-term effectiveness of Silastic implants for hallux valgus requires further investigation.
The study highlights differential outcomes based on the indication for surgery.