Retrospective analysis of biological arthroplasty of the first metatarsophalangeal joint for grade III hallux rigidus deformity

Summary The purpose of this study was to evaluate the outcome of biological arthroplasty according to clinical and radiographic parameters over a long period of time. Biological arthroplasties in 35 feet were analysed at an average follow-up time of 7 years and a mean patient age of 39. The procedure involves a sparing resection and remodelling of the first metatarsal head, which is then covered with a pedunculated capsular flap to produce a biological arthroplasty. There were 27 ‘good' results (77%), five ‘fair' results (14%) and three ‘poor' results (8%). This review suggests that biological arthroplasty can be effective when used with patients who are carefully selected according to age, activity level and diagnosis.

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