Stone OD , Ray R & Thomson CE et al.: Long-term follow-up of arthrodesis vs total joint arthroplasty for hallux rigidus. Foot Ankle Int 38: 375, 2017.
Chraim M , Bock P & Alrabai HM et al.: Long-term outcome of first metatarsophalangeal joint fusion in the treatment of severe hallux rigidus. Int Orthop 40: 2401, 2016.
Kline AJ & Hasselman CT: Metatarsal head resurfacing for advanced hallux rigidus. Foot Ankle Int 34: 716, 2013.
Baumhauer JF , Singh D & Glazebrook M et al.: Prospective, randomized, multi-centered clinical trial assessing safety and efficacy of a synthetic cartilage implant versus first metatarsophalangeal arthrodesis in advanced hallux rigidus. Foot Ankle Int 37: 457, 2016.
Glazebrook M , Blundell C & O'Dowd D et al.: Midterm outcomes of a synthetic cartilage implant for the first metatarsophalangeal joint in advanced hallux rigidus. Foot Ankle Int 40: 374, 2018.
Davies MB , Roberts VI & Chadwick C et al.: Revision of synthetic cartilage implant hemiarthroplasty of the great toe to metatarsophalangeal joint arthrodesis: technique and indications. Tech Foot Ankle Surg 19: 48, 2020.
Lange J , Troelsen A & Thomsen RW et al.: Chronic infections in hip arthroplasties: comparing risk of reinfection following one-stage and two-stage revision. A systematic review and meta-analysis. Clin Epidemiol 4: 57, 2012.
Haleem AA , Berry DJ & Hanssen AD: Mid-term to long-term followup of two-stage reimplantation for infected total knee arthroplasty. Clin Orthop Relat Res 428: 35, 2004.
Hart WJ & Jones RS: Two-stage revision of infected total knee replacements using articulating cement spacers and short- term antibiotic therapy. J Bone Joint Surg Br 88: 1011, 2006.
Tande AJ & Patel R: Prosthetic joint infection. Clin Microbiol Rev 27: 302, 2014.
Osmon DR , Berbari EF & Berendt AR et al.: Executive summary: diagnosis and management of prosthetic joint infection: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis 56: 1, 2013.
Cassinelli SJ , Chen S & Charlton TP et al.: Early outcomes and complications of synthetic cartilage implant for treatment of hallux rigidus in the United States. Foot Ankle Int 40: 1140, 2019.
Stone PA , Barnes ES & Savage T et al.: Late hematogenous infection of first metatarsophalangeal joint replacement: a case presentation. J Foot Ankle Surg 49: 489.e1, 2010.
Uckay I , Lubbeke A & Emonet S et al.: Low incidence of haematogenous seeding to total hip and knee prostheses in patients with remote infections. J Infect 59: 337, 2009.
Baumhauer JF , Singh D & Glazebrook M et al.: Correlation of hallux rigidus grade with motion, VAS pain, intraoperative cartilage loss, and treatment success for first MTP joint arthrodesis and synthetic cartilage implant. Foot Ankle Int 38: 1175, 2017.
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.