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First Metatarsophalangeal Hemiarthroplasty for Grade III and IV Hallux Rigidus

Giza, Eric MD; Sullivan, Martin R MD

Techniques in Foot & Ankle Surgery: March 2005 - Volume 4 - Issue 1 - p 10-17
doi: 10.1097/

The BIOPRO® first metatarsophalangeal hemiarthroplasty is a reliable alternative to fusion of the first metatarsophalangeal for patients with grade III or IV hallux rigidus. The implant was introduced in 1952, and Townley reported 93% good or excellent results on 279 implants with an 8-month to 33-year follow-up. One hundred three first metatarsophalangeal hemiarthroplasties have been performed at our center over 4 years, and we report no cases of deep infection or loosening. Postoperative arthrofibrosis is the most common complication and is addressed with manipulation, which restores functional dorsiflexion. A structured postoperative physical therapy program is important to maintain range of motion and favorable outcomes. A prospective, long-term follow-up study is currently underway.

Foot and Ankle Clinic, St. Vincent's Clinic and North Shore Private Hospital, St. Leonards, New South Wales, Australia

Address correspondence and reprint requests to Martin Sullivan, MD, Foot & Ankle Clinic, St. Vincent's Clinic and North Shore Private Hospital, Sydney, New South Wales, Australia. E-mail:

© 2005 Lippincott Williams & Wilkins, Inc.