The Rotoglide ™ total replacement of the first metatarso-phalangeal joint. A prospective series with 7–15 years clinico-radiological follow-up with survival analysis

Primary osteoarthritis of the first metatarso-phalangeal joint (MTP-1) is common and gives clinical symptoms already in the fourth and fifth decade of life. Definition of the clinical entity is a painful dorsal collision phenomenon, a dorsal bunion, pain from shoe wear, and severely diminished dorsiflexion in the MTP-1 joint. Lateralization of the loading pattern over the lateral side of the foot and off loading of the great toe is typical and often leads to metatarsalgia. Depending on the radiographic grade of osteoarthritis (1 –4) [1], the options for surgical treatment are cheilectomy or osteotomy (grades 1–2) and for grades 3–4 either resection arthroplasy (Keller), arthrodesis or replacement (hemi or total).
Source: Foot and Ankle Surgery - Category: Orthopaedics Authors: Source Type: research