Titre du document / Document title

Preventing loss of the great toe with the hallux interphalangeal joint arthroplasty

Auteur(s) / Author(s)

ROSENBLAUM B. I. ; GIURINI J. M. ; CHRZAN J. S. ; HABERSHAW G. M. ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

Harvard medical school, New England deaconess hosp., div. podiatry, Boston MA 02215, ETATS-UNIS

Résumé / Abstract

Chronic ulcerations of the hallux may result in amputation if infection becomes uncontrolled. Salvage of the hallux often requires surgical intervention when conservative measures fail. Many authors have described various procedures to prevent recurrent ulceration and the potential for loss of the great toe. The authors have reviewed their experience with the hallux interphalangeal joint arthroplasty for chronic neuropathic ulcers of the great toe. Between August 1988 and July 1991, the authors performed 46 hallux interphalangeal joint arthroplasties on 40 patients (22 males, 18 females). Of the 40 original patients, one patient was lost to follow-up in the immediate postoperative period, leaving 45 procedures on 39 patients. Thirty-six feet were noted to heal both the procedure and ulceration uneventfully (80%). There were five minor complications (11%). Four cases were deemed failures (9%). Overall, 41 feet (91%) healed and had no evidence of recurrence in the follow-up period. Follow-up was an average of 23.6 months (range 4-44 months). The hallux interphalangeal joint arthroplasty has been a valuable procedure for chronic ulcerations of the hallux. By allowing these ulcers to heal, loss of the great toe has been avoided. Function and structure of the foot has been maintained

Revue / Journal Title

The Journal of foot and ankle surgery   ISSN 1067-2516 

Source / Source

Congrès
American College of Foot and Ankle Training. Annual meeting N^o51
1994, vol. 33, n^o6, pp. 557-560 (11 ref.)

Langue / Language

Anglais

Editeur / Publisher

Data Trace, Baltimore, MD, ETATS-UNIS  (1993) (Revue)

Mots-clés anglais / English Keywords

Hallux valgus ; Big toe ; Treatment ; Prevention ; Human ; Toe interphalangeal joint ; Diseases of the osteoarticular system ; Deformation ;

Mots-clés français / French Keywords

Hallux valgus ; Gros orteil ; Traitement ; Prévention ; Homme ; Articulation interphalangienne orteil ; Système ostéoarticulaire pathologie ; Déformation ;

Mots-clés espagnols / Spanish Keywords

Hallus valgus ; Ortejo mayor ; Tratamiento ; Prevención ; Hombre ; Articulación interfalángica ortejo ; Sistema osteoarticular patología ; Deformación ;

Localisation / Location

INIST-CNRS, Cote INIST : 20810, 35400005809497.0040