Rotaglide first mtp joint replacement Surgical Technique
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Arguably there are only relative indications for any first Metatarsophalangeal joint replacement.
The main one practically speaking is patient preference. Interphalangeal joint arthritis intercurrent with MTP arthritis would be one relative medical indication for replacement.
The trade-off for some element of maintained ( and also comfortable) MTP movement ( a realistic expectation after replacement , as opposed to an increased range) is a lower longevity to the intervention (compared to both other lower limb replacements and MTP fusion).
Author: Mark Herron FRCS
Institution: The Wellington Hospital , London