AI Article Synopsis
- A 65-year-old man experienced a painful nonunion of the first metatarsophalangeal joint (MTPJ), a common complication after surgery with a prevalence of 5-10%.
- The treatment involved converting a pseudoarthrosis held by two crossing screws into a hemicup-prosthesis, which has shown promising results for treating hallux rigidus.
- This case report is the first to document the use of a hemicup-prosthesis as a salvage procedure for pseudoarthrosis of the first MTPJ.
Article Abstract
We report a case of a 65-year-old man with a painful nonunion of the first metatarsophalangeal joint (MTPJ). It is one of the main severe complications of this surgery. Its prevalence is described between 5% and 10% across different operative techniques. The implantation of hemicup-prosthesis has been successfully used for the hallux rigidus treatment with very promising results. In our case report, we introduce a treatment method of converting a pseudoarthrosis of the first MTPJ, made of two crossing screws into a hemicup-prosthesis as a salvage procedure. This is to our best knowledge the first report using this device for treatment of pseudoarthrosis of the first MTPJ.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4202183 | PMC |
| http://dx.doi.org/10.4081/cp.2014.646 | DOI Listing |
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Article Synopsis
- A 65-year-old man experienced a painful nonunion of the first metatarsophalangeal joint (MTPJ), a common complication after surgery with a prevalence of 5-10%.
- The treatment involved converting a pseudoarthrosis held by two crossing screws into a hemicup-prosthesis, which has shown promising results for treating hallux rigidus.
- This case report is the first to document the use of a hemicup-prosthesis as a salvage procedure for pseudoarthrosis of the first MTPJ.
Background: The standard treatment for a non-union of the hallux metatarsophalangeal joint fusion has been to revise the fusion. Revision fusion is technically more demanding, often involving bone grafting, more substantial fixation and prolonged period of immobilization postoperatively. We present data to suggest that removal of hardware and debridement alone is an alternative treatment option.
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