SILICONE PROSTHESIS FOR REPLACEMENT OF TH E FIRST METATARSOPHALANGEALJOINT - LONG-TERM RESULTS

Aim of the study: Long-term results of single stemmed silicone prosthe ses. Method: 61 feet were revewed after a mean follow-up time of 13 ye ars. Results: 18 implants (29.5%) have been removed, 7 of them in the first year after operation. The often impressive radiologic changes sh owed no correlation to the subjective results but a correlation to tim e. 1/3, of the patients were not satisfied with the outcome. An averag e of 75% of the prosthesis was destroyed after 10 years, 93.5% were lo osened. Conclusion: By reason of the high rate of failure of the impla nt, we have abandoned this procedure.