Surgical Treatment for First Metatarsal Joint Deforming Osteoarthrosis of Various Etiology

Examination and treatment results were presented for 17 patients with deforming arthrosis of the first metatarsal joint. In the 1 st group (12 patients) total arthroplasty of the first metatarsal joint was performed using Total Toe System implants. Second group included 5patients with dysplas- tic osteoarthrosis of the first metatarsal joint and iatrogenic aseptic necrosis of the head of the first metatarsal bone resulted from excessive medial resection of the head. In 3 patients from group 2 custom made implants and specially designed instruments were used. All patients from the 1 st group were examined in 3—12 months postoperatively. Joint condition showed 82points by AOFAS scale compared to 31 before surgery. In patients from the 2 nd group treatment results made up 88 points by AOFAS scale.

first metatarsal joint, deforming arthrosis, iatrogenic aseptic necrosis, excessive resection, arthroplasty