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Foot Ankle Int. 2009 Jul;30(7):653-60. doi: 10.3113/FAI.2009.0653.

Results of metallic Hemi-Great Toe Implant for Grade III and early Grade IV hallux rigidus.

Author information

  • 1Advanced Healthcare, Falls Division, Orthopaedics, N84W16889 Menomonee Ave., Menomonee Falls, WI 53051, USA. kkonke@ah.com



The authors the short-term and mid-term results of patients with their preoperative status who were surgically treated for advanced Grade III and early Grade IV symptomatic hallux rigidus using the Futura Hemi-Great Toe Implant.


The authors were able to contact 23 of 33 consecutive patients. They had a detailed evaluation preoperatively and came in for a detailed mid-term evaluation. Some of the patients were able to come in routinely for detailed periodic evaluations.


Periodic evaluations showed most patients had a gradual improvement of function over the first 2 years. Patients with early Grade IV disease had a greater propensity to develop early recurrence of their dorsal osteophyte at or before their mid-term followup (average 6 years). In this group of patients, the Futura Hemi-Great Toe Implants lead to 88% good to excellent mid-term results and 88% patient satisfaction over a 6-year average followup.


Patients with early Grade IV hallux rigidus tend to develop progressive sesamoid arthritis and recurrent dorsal osteophyte formation more rapidly than advanced Grade III patients.

[PubMed - indexed for MEDLINE]
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