Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 10 , ISSUE 4 ( October-December, 2023 ) > List of Articles


Thou Shalt not Fuse: Implant Survival Outcomes and Complications Following Arthroplasty in Hallux Rigidus

Isabella Drummond, Joon Ha, Amit Patel, Francesc Malagelada, Lee Parker, Luckshmana Jeyaseelan

Keywords : Arthroplasty, Complications, Hallux rigidus, Metatarsophalangeal arthritis, Outcomes, Survival

Citation Information : Drummond I, Ha J, Patel A, Malagelada F, Parker L, Jeyaseelan L. Thou Shalt not Fuse: Implant Survival Outcomes and Complications Following Arthroplasty in Hallux Rigidus. J Foot Ankle Surg Asia-Pacific 2023; 10 (4):175-181.

DOI: 10.5005/jp-journals-10040-1316

License: CC BY-NC 4.0

Published Online: 25-10-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Aims and background: Hallux rigidus (HR) is a condition characterized by pain and loss of range of motion of the metatarsophalangeal joint (MTPJ) of the great toe caused by degenerative arthritis. The aim of this article is to present the clinical outcomes, survival, and complication profile of the available implants for the salvage of the first MTPJ. Materials and methods: This study is a narrative review of the current evidence base assessing joint-sparing procedures using interposition implants. A comprehensive literature search was performed in PubMed by two investigators, and data were categorized based on implant option. Results: Silastic, metallic, and polyvinyl alcohol (PVA) implants were analyzed. The majority of the studies demonstrated satisfactory clinical outcomes and survivorship, and low complication rates for all types of implants. Nevertheless, there are a few reports of poor results after arthroplasty for HR. Conclusion: Arthroplasty of the first MTPJ for the management of HR yields satisfactory functional outcomes and reasonable pain relief. Future prospective studies are needed to confirm the findings of the present study. Clinical significance: Arthroplasty may be a safe alternative to an arthrodesis while preserving the range of movement of the first MTPJ.

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