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First Metatarsophalangeal Joint Implant Options
Clinics in Podiatric Medicine and Surgery, 2019Evidence-based medicine continues to guide our treatment of patients. Owing to the unique characteristics of the first metatarsophalangeal joint (1st MTPJ) with its small surface area and the significant amount of multiplanar force that affects it, finding the perfect implant to allow motion and alleviate pain is still the ultimate goal.
Michelle L, Butterworth, Maria, Ugrinich
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Joint Replacement in the Hallux Metatarsophalangeal Joint
Foot and Ankle Clinics, 2005Joint replacement of the hallux metatarsophalangeal joint has not enjoyed the same success as hip and knee arthroplasties. Silastic implants have achieved a high patient satisfactory rate but have caused many complications, including silicone synovitis and lymph node inflammation.
Jan-Eric, Esway, Stephen F, Conti
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First Metatarsophalangeal Joint Arthrodesis
Operative Techniques in Orthopaedics, 2008Arthrodesis of the first metatarsophalangeal (MTP) joint is used to treat a variety of conditions. Several fusion techniques have been described in the literature, each striving for a rigid construct to ensure fusion. Our preferred technique incorporates the use of the convex- and concave-type reamers for bone preparation and stabilization with a ...
Amar Patel, Judith Baumhauer
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Metatarsophalangeal Joint Procedures
2017The first step is restoring mobility by resecting osteophytes. The second step is release of the shortened plantar structures – both the joint capsule and the short flexor tendons – caused by chronic decreased extension. In contrast to the conventional technique, this technique includes the phalangeal capsule at the tendon insertion (flexor hallucis ...
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First Metatarsophalangeal Joint Arthrodesis
2017First metatarsophalangeal (MTP) joint fusion is performed to address debilitating pain or functional impairment as a result of a variety of pathologic conditions. It is routinely performed after nonoperative interventions fail for later-stage hallux rigidus, severe hallux valgus, or varus deformities and degenerative, neuromuscular, or inflammatory ...
Justin Tsai, Steven M. Raikin
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Second Metatarsophalangeal Joint Instability
Foot & Ankle International, 1995P T, Fortin, M S, Myerson
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Arthroscopy of the First Metatarsophalangeal Joint
The Journal of Foot and Ankle Surgery, 2018Arthroscopic treatments for the first metatarsophalangeal joint have not spread fully owing to a number of factors. First, in the common arthroscopic view, the joint is observed from above, which makes the structures difficult to grasp and the dorsal aspect of the joint difficult to visualize and treat. Second, techniques for widening the view have not
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Second Metatarsophalangeal Joint Arthropathy
2012Forefoot pain involving the lesser metatarsophalangeal joints (MTPJ) is a common complaint presenting to the foot specialist.1 Pain affecting these articulations are often referred to as “metatarsalgia”;2 a generalized term referring to a variety of different forefoot problems involving bone, articular, and soft tissue structures of the forefoot.
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