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Related Experiment Videos

The Biomet Total Toe System utilizing the Koenig score: a five-year review

R D Koenig1, L R Horwitz

  • 1Department of Podiatric Surgery, DePaul Health Center, St. Louis, Missouri, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|January 1, 1996
PubMed
Summary
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The Biomet Total Toe System, a durable implant for the first metatarsophalangeal joint, offers functional, weightbearing support. A new Koenig Score demonstrates its postoperative success.

Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Podiatric medicine

Background:

  • The first metatarsophalangeal (MTP) joint is crucial for foot function.
  • Degenerative conditions of the MTP joint often necessitate surgical intervention.
  • Existing implants may have limitations in durability or functionality.

Purpose of the Study:

  • To evaluate the clinical performance of the two-component, first MTP joint implant.
  • To introduce and validate a novel scoring system, the Koenig Score, for assessing MTP implant outcomes.
  • To demonstrate the functional and weightbearing capabilities of the Biomet Total Toe System.

Main Methods:

  • Clinical data from patients with the Biomet Total Toe System implant over 5 years was reviewed.
  • The implant's unique feature of plantar condyles enabling full weightbearing was highlighted.

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  • The newly developed Koenig Score was applied to assess postoperative outcomes.

    • Main Results:

    • The Biomet Total Toe System has a 5-year history of clinical use.
    • The implant is designed for full weightbearing due to its plantar condyles, ensuring functionality.
    • Application of the Koenig Score indicated successful postoperative outcomes for the implant.

    Conclusions:

    • The Biomet Total Toe System is a durable and functional implant for the first MTP joint.
    • The Koenig Score provides a reliable method for evaluating the success of MTP joint implants.
    • The implant demonstrates positive clinical results, supporting its use in treating MTP joint pathology.