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

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.
• 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.