Salvage of first metatarsophalangeal joint arthroplasty complications.

Abstract

There are two broad categories of surgical techniques for first metatarsophalangeal joint arthroplasty. Resection arthroplasty is a resection of the base of the proximal phalanx with or without an interposition graft of capsule or adjacent tendon. The second technique involves a partial or complete joint replacement. The primary indication for these procedures is first metatarsophalangeal joint pain caused by arthritic change. The salvage surgical options for failed metatarsophalangeal joint arthoplasty are directed toward decreasing or eliminating the symptoms arising from the complications of these procedures.