"Over the last 14 years, our procedure has had a very high success rate," says Joseph L. Whalen, M.D., Ph. D., an orthopedic surgeon at Mayo Clinic in Jacksonville, Florida.
Joint replacement is sometimes offered as a treatment option for
metatarsophalangeal arthritis, a condition that severely affects the
ability to walk and to wear shoes comfortably. "Toe arthritis can be
every bit as disabling as ankle arthritis or knee arthritis," Dr. Whalen
says.
Joint replacement is sometimes offered as a treatment option for
metatarsophalangeal arthritis, a condition that severely affects the
ability to walk and to wear shoes comfortably. "Toe arthritis can be
every bit as disabling as ankle arthritis or knee arthritis," Dr. Whalen
says.
Mayo Clinic's approach to toe arthritis usually involves fusion
surgery — the gold standard of treatment. However, people who undergo
toe fusion can experience pain if they wear shoes with heels higher than
an inch. That restriction prompts some people to seek joint
replacement, often from a podiatrist, for the treatment of toe
arthritis.
"When those joint replacements fail, it's a difficult reconstructive
problem," Dr. Whalen says. "We can't just take out the implant because
joint replacement surgery removes a lot of bone. The big toe is
significantly shortened — it's usually shorter than the second toe by
one-third — which leads to transfer metatarsalgia. Often the big toe
sticks up and won't touch the floor. It's very painful."
Mayo Clinic's salvage surgery uses an interpositional graft that has
been contoured from a patella wedge. "The density of that bone allows us
to fill the bone defect after we remove the implant from the big toe.
We can generally lengthen the toe by 10 to 12 millimeters, which is
enough to relieve the transfer metatarsalgia," Dr. Whalen says.
The precise amount of toe lengthening depends on factors such as soft
tissue scarring and the patient's circulatory health. The structural
bone graft fully incorporates by about eight to 16 weeks after surgery.
Successful healing occurs in approximately 90% of patients who comply
with postoperative restrictions.
Dr. Whalen notes that revision surgery can be avoided if patients
with metatarsophalangeal arthritis opt for fusion surgery, which
generally provides positive outcomes.
"There are many misconceptions about fusing the big toe," he says.
"People think they're going to limp or walk abnormally after the
surgery, so they avoid it. But fusion provides highly predictable pain
relief. Patients who have the procedure are generally very happy with
the results."
About PUSM
Shenyang Pusman Medical Equipment Co., Ltd. was established in 2006. It is a professional enterprise integrating R & D, manufacturing and sales. It specializes in producing medical equipment according to national standards. Our company's main products: medical electric saw drill series; imported brushless motor series; domestic high-quality brushless motor series; medical electric drill pendulum saw integrated multi-functional system; hand, foot and ankle special system; pedicle screw screwing into special power; external Fixed needles are screwed into special power; external fixation series; bone cement; bone cement guns and other orthopedic surgical instruments.
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