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Updated: Aug 5, 2026

An Improved Mechanical Testing Method to Assess Bone-implant Anchorage
Published on: February 10, 2014
[Long-term results of single stem silastic implants in the metatarsophalangeal joint]
T Ledermann1, U Klingler, H Zollinger
1Orthopädische Universitätsklinik Balgrist, Zürich.
Aim Of The Study:
Long-term results of single stemmed silicone prostheses.
Method:
61 feet were reviewed after a mean follow-up time of 13 years.
Results:
18 implants (29.5%) have been removed, 7 of them in the first year after operation. The often impressive radiologic changes showed no correlation to the subjective results but a correlation to time. 1/3 of the patients were not satisfied with the outcome. An average of 75% of the prosthesis was destroyed after 10 years, 93.5% were loosened.
Conclusion:
By reason of the high rate of failure of the implant, we have abandoned this procedure.

