Reappraisal of the negative impression cast and the subtalar joint neutral position revisited.
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Biomedical subjects
Publications and source records attributed to T E Sgarlato.
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Digital implant arthroplasty offers the foot surgeon an excellent alternative to resection arthroplasty and arthrodesis for the treatment of symptomatic digital deformities. The authors discuss the various types of implants used in the toes. The indications, contraindications, and complications of this procedure are reviewed.
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The use of a double-stemmed hinged implant in conjunction with an arthroplasty has been found to be advantageous for the correction of hammertoes of the lesser digits. Active toe mobility has been obtained and no bone reactions have occurred from the use of implants.
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A double-stem silicone prosthetic implant to replace the lesser metatarsophalangeal joint has been found to be successful in helping several difficult-to-treat conditions that affect the forefoot. The prosthetic device can be used to replace the proximal phalanx base or the metatarsal head. It is more successful in older (over age 50) patients.