Cracchiolo A, Swanson A, Swanson G D
Clin Orthop Relat Res. 1981 Jun(157):64-9.
A review of 159 feet with double-stem silicone implants in the hallux metatarsophalangeal (MTP) joint was conducted in two medical centers. The majority of patients had a diagnosis of rheumatoid arthritis. Follow-up evaluations ranging between 18 months and six years indicate that pain relief was present in all cases with most having complete relief of pain. Hallux valgus was corrected in most and a functional range of motion as well as good muscle strength was restored. The stability provided by the procedure has improved the postoperative alignment of the lateral MTP joints from which the metatarsal heads had been excised. Operative technique must be precise and tissues must be handled and prepared for the implant with care.
在两个医疗中心对159例在拇趾跖趾（MTP）关节植入双柄硅胶假体的病例进行了回顾。大多数患者被诊断为类风湿性关节炎。随访评估时间为18个月至6年，结果显示所有病例均有疼痛缓解，大多数患者疼痛完全缓解。大多数病例的拇外翻得到矫正，恢复了功能活动范围以及良好的肌肉力量。该手术提供的稳定性改善了外侧MTP关节（已切除跖骨头）的术后对线。手术技术必须精确，并且必须小心处理组织并为植入物做好准备。
