Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty – Ankle / Foot
Abstract number: 26151
MID-TERM RESULTS OF ARTHROPLASTY OF I.MTP JOINT BY SYSTEM
TOEFIT-PLUS
Miroslav LISY, Miloslav PINK, Martin SKLADAL
Orthopaedic Dept., Trebic (CZECH REPUBLIC)
PURPOSE: In the present study we evaluate results of total replacement of I.
metatarsophalangeal joint by system Toefit-Plus. METHODS: Between March 2004
and September 2009 we performed 46 procedures of arthroplasty of I.MTP joint.In all
cases we used system Toefit-Plus. It is cementless prothesis.Our group included 30
men et 16 women. Average mean age at surgery was 46 years (35-60) The
indication was III.-IV.degree of hallux rigidus. Primary arthrosis was indicated in 28
and secondary/posttraumatic/ in 18 cases. The indication was III.-IV.degree of hallux
rigidus. The contraindication was serious axial deviance of hallux, pure quality of
bone, neuromuscular disease, and obesity. Clinical evaluation was conducted using
Hallux-Metatasophalangeal-Score by Kitaoka AOFAS. Imaging studies: AP, lateral
view. RESULTS/DISCUSSION: Patients were followed for an average 36 months
postoperative (3-62 months). The average postoperative Kitaoka score for objective
was 50 points (max.60p) and for subjective was 35 points (max.40p). No patients
were lost to follow-up. There were no cases of deep infection, wound dehiscence or
dislocation. We note any correlation in clinical results to age or sex of patients. No
loosening of implants noted. CONCLUSION: Mid-term results are encouragingly. The
advantage of this procedure is painless mobile joint against to arthrodesis. The
patient selection must be strict regarding. Due to results of our study, we can advise
this method.
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