Revision arthroplasty utilizing the Biomet Total Toe System for failed silicone elastomer implants

Area of Science:

• Orthopedic Surgery
• Biomaterials Science

Background:

• Silicone elastomer implants for metatarsophalangeal joint arthroplasty can fail, leading to pain and functional deficits.
• Revisional surgery is necessary to address implant failure and restore joint function.

Purpose of the Study:

• To evaluate the efficacy of the Biomet Total Toe System in revisional arthroplasty for failed metatarsophalangeal joint silicone implants.
• To assess the outcomes of pain elimination and function restoration after revision.

Main Methods:

• A 3-year retrospective study of 10 cases undergoing revisional arthroplasty.
• Utilized the Biomet Total Toe System for revision procedures.
• Focused on cases with prior metatarsophalangeal joint silicone elastomer implant failure.

Main Results:

• The study included 10 cases requiring revision due to failed silicone elastomer implants.
• The Biomet Total Toe System was employed as the chosen method for revision.
• The primary goals were pain reduction and functional improvement of the metatarsophalangeal joint.

Conclusions:

• Revisional arthroplasty using the Biomet Total Toe System can be a viable option for patients with failed metatarsophalangeal joint silicone implants.
• Surgeons must possess thorough familiarity with the Biomet Total Toe System prior to undertaking revision procedures.
• Successful outcomes depend on addressing pain and restoring function post-implant failure.