Preliminary Experience With Polyvinyl Alcohol Hydrogel Implant for Pathology of the Second Metatarsal Head

Foot & Ankle International
Mark GlazebrookTimothy R Daniels

Abstract

There is no consensus regarding which surgical technique is most beneficial for pathology of the second metatarsophalangeal joint. We report the use of polyvinyl alcohol hydrogel synthetic cartilage implant hemiarthroplasty for pathology of the second metatarsal head that has failed nonoperative treatment and present 5 cases with a minimum 15 months of follow-up. The technique for synthetic cartilage hemiarthroplasty of the second metatarsal head is described. The postoperative protocol included weightbearing as tolerated for 2 weeks and moderate limitations in activities of daily living to respect wound healing, followed by physiotherapy for range of motion exercises. Charts for patients who underwent this procedure between 2015 and 2017 were retrospectively reviewed. Outcome measures collected postoperatively included a pain visual analog scale, Short-Form 36 (SF-36) Physical Component Summary (PCS) and Mental Component Summary (MCS) scores, and Foot and Ankle Ability Measure (FAAM) Sports and Activities of Daily Living (ADL) current level of function percentages. At 15 to 38 months of follow-up, patients reported little to no pain and good range of motion, with no complications. Mean outcome measure scores were 89 for FAAM A...Continue Reading

References

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Jan 19, 2019·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Cesar de Cesar NettoMark Drakos

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Citations

Jul 9, 2020·Foot & Ankle International·Bopha ChreaMark C Drakos
Sep 13, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Meshal A AlhadhoudMark A Glazebrook
Mar 31, 2021·The Journal of Bone and Joint Surgery. American Volume·Mansur M HalaiTimothy R Daniels

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