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Management of Periprosthetic Polyvinyl Alcohol Synthetic Cartilage Implant Infection with Staged First Metatarsophalangeal Joint Arthrodesis

A Case Report

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Surgical management of hallux rigidus using a polyvinyl alcohol synthetic cartilage implant has gained popularity among foot and ankle surgeons. Although uncommon, appropriate diagnosis and management of a periprosthetic implant infection is critical in limiting morbidity. We present a case report and staged technique for converting a first metatarsal synthetic cartilage hemiarthroplasty to arthrodesis in the setting of a periprosthetic joint infection.

Division of Podiatric Surgery, Penn Presbyterian Medical Center/University of Pennsylvania Health System, Philadelphia, PA.

Premier Orthopedics, West Chester, PA.

Corresponding author: Korey S DuBois, DPM, Division of Podiatric Surgery, Penn Presbyterian Medical Center/University of Pennsylvania Health System, 51 N 39th St, Philadelphia, PA 19104. (E-mail: koreydubois@gmail.com)