Abstract
Aim: To evaluate the clinical outcome of Titaneum hemi-arthroplasty in the management of hallux metatarsopha-langeal joint arthritis. Methods: 55 joints in 46 patients were treated surgically with Titaneum implant for arthritic hallux metatarsophaelangeal joints. There were 35 women and 11 men. The pathological indications were hallux rigidus (74%), rheumatoid arthritis (10%) and degenerative changes associated with hallux valgus (16%). 6 cases were done as a revision of sialastic to titanium prosthesis due to severe silicone synovitis. Results: The mean age was 60 (range 43–76) years, and the mean follow up was 56 (range 28–86) months. The mean time taken to get back to normal activities is 36.6 (range 21–90) days. The mean range of motion achieved was 32 (range 20–64) degrees and the relief of pain was excellent or good in 86% of the patients. There were no surgical complications in the form of infection, osteolysis or instability. The synovitis in the revision group has subsided. Conclusions: The clinical results of Titaneum hemiarthroplasty were good. The advantages of this procedure were preservation of joint movement and good pain relief.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
