Surgical Treatment for First Metatarsal Joint Deforming Osteoarthrosis of Various Etiology

M. Y Yezhov

doi:10.17816/vto20120438-41

N.N. Priorov Journal of Traumatology and Orthopedics ›› 2012, Vol. 19 ›› Issue (4) : 38 -41. DOI: 10.17816/vto20120438-41

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Surgical Treatment for First Metatarsal Joint Deforming Osteoarthrosis of Various Etiology

M. Y Yezhov

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Abstract

Examination and treatment results were presented for 17 patients with deforming arthrosis of the first metatarsal joint. In the 1 st group (12 patients) total arthroplasty of the first metatarsal joint was performed using Total Toe System implants. Second group included 5patients with dysplas- tic osteoarthrosis of the first metatarsal joint and iatrogenic aseptic necrosis of the head of the first metatarsal bone resulted from excessive medial resection of the head. In 3 patients from group 2 custom made implants and specially designed instruments were used. All patients from the 1 st group were examined in 3—12 months postoperatively. Joint condition showed 82points by AOFAS scale compared to 31 before surgery. In patients from the 2 nd group treatment results made up 88 points by AOFAS scale.

Keywords

first metatarsal joint / deforming arthrosis / iatrogenic aseptic necrosis / excessive resection / arthroplasty

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M. Y Yezhov. Surgical Treatment for First Metatarsal Joint Deforming Osteoarthrosis of Various Etiology. N.N. Priorov Journal of Traumatology and Orthopedics, 2012, 19(4): 38-41 DOI:10.17816/vto20120438-41

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