RESUMO
The two-component, durable first metatarsophalangeal joint implant has a 5-year history of clinical use. Unique for having plantar condyles, the Total Toe System is fully weightbearing, thus functional. A new scoring system, the Koenig Score, is introduced and applied to the Biomet Total Toe System to demonstrate the success of this implant postoperatively.
Assuntos
Hallux Valgus/cirurgia , Prótese Articular , Articulação Metatarsofalângica/cirurgia , Osteoartrite/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Desenho de Prótese , Amplitude de Movimento Articular/fisiologia , ReoperaçãoRESUMO
The author presents a 3-year study of 10 cases of revisional arthroplasty utilizing the Biomet Total Toe System. The procedure is performed to eliminate pain and restore function in cases of metatarsophalangeal joint silicone elastomer implant failure. The surgeon should be familiar with the Total Toe System before attempting revision.
Assuntos
Hallux/cirurgia , Prótese Articular , Articulação Metatarsofalângica/cirurgia , Desenho de Prótese , Elastômeros de Silicone , Transplante Ósseo , Tecido Conjuntivo/cirurgia , Humanos , Falha de Prótese , Ajuste de Prótese , Amplitude de Movimento Articular , Reoperação , Elastômeros de Silicone/efeitos adversosRESUMO
A new first metatarsophalangeal joint implant arthroplasty is described. The two-component, titanium alloy and polyethylene prosthesis designed for weightbearing is noncemented and press-fit. Sixteen cases involving 18 implants were evaluated over 18 months with evidence that good correction and pain free motion can be obtained.
Assuntos
Artropatias/cirurgia , Prótese Articular , Articulação do Dedo do Pé/cirurgia , Adulto , Idoso , Humanos , Pessoa de Meia-IdadeRESUMO
Single and multiple verrucous plantaris lesions are well known for their resistance to conservative methods of treatment. In an effort to destroy verrucous growth, the authors have attempted to alter the genetic structure of these obstinate, benign warty lesions by using the antibiotic, bleomycin sulfate. This study provides a review of the medical literature and presents the intralesional injection technique of 0.1% bleomycin into the wart tissue itself. The impressive and significant success rate for complete resolution of verrucous lesions without subsequent scarring has shown this approach to be an effective treatment for plantar warts.
