Abstract
Introduction
Surgical treatment options for osteoarthritis of the first MTPJ include fusion, excision arthroplasty, interposition arthroplasty and replacement arthroplasty. 1 Arthroplasty of the first MTPJ is not a treatment modality that is, as yet, widely accepted. 2,3 although early results are promising.
The Toefit-plus (tm) first MTP joint arthroplasty is an uncemented modular hemi or total joint replacement. The aim of this study was to look at the short to medium term outcome of the Toefit-plus(tm) system, performed by a single surgeon in a district general hospital.
Methods
This was a retrospective study. Information was obtained from a combination of theatre logs and the operating surgeon's records. Any patient who had undergone Toefit -plus(tm) first MTP joint replacement was included. The demographic information was collated and the patients were scored using the AOFAS-IP scoring system and a VAS for pain.
Results
16 patient were identified with a total of 20 Toefit-plus(tm) arthroplasties. The vast majority of the patients were female 15/16 (94%) and the average age of the patients was 57.5 years (33-63 years). The average time at follow up was 16.55 months (2-45). No revision procedures had been performed.
Conclusions
In our small study of a mainly female population the Toefit-Plus(tm) first MTP joint replacement results in a good functional outcome in the short term. Ongoing assessment will be required to investigate whether this benefit is maintained in the long term.
