Biomechanics of the first metatarsophalangeal joint after replacement

Kolsanov AV, Nikolaenko AN, Ivanov VV, et al. . Biomechanics of the first metatarsophalangeal joint after replacement. Pirogov Russian Journal of Surgery. 2023;(5):58‑64. (In Russ.)
https://doi.org/10.17116/hirurgia202305158

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

Analysis of biomechanics of the first metatarsophalangeal joint after arthroplasty, interaction between bones and two implants of the first metatarsophalangeal joint using skeletal model of the foot.

MATERIAL AND METHODS

We developed anatomically adapted all-ceramic non-coupled endoprosthesis of proximal interphalangeal joint between 2016 and 2021. To create a model of the foot, we used diagnostic computed tomography whose images were applied in 3D sculpting system and computer-aided design system for final geometric modeling of the joint.

RESULTS

In dorsal flexion of the first metatarsophalangeal joint under 45° with the presence of implant, cortical bone tissue can withstand a load of up to 40 kg. Cortical bone tissue with implant can withstand a load of up to 305 kg without dorsal flexion. Strength of implant elements made of zirconium ceramics significantly exceeds strength of bone tissue within implant-bone tissue connection.

CONCLUSION

Postoperative axial load on the first metatarsophalangeal joint up to 35 kg with maximum dorsal flexion up to 45° is the most appropriate. Higher load and hyperextension over 45° may be followed by postoperative complications such as implant instability, dislocation and periprosthetic fracture.

Keywords:

replacement of the first metatarsophalangeal joint

modeling of critical loads

geometric model of the foot

Authors:

Kolsanov A.V.

Samara State Medical University

ORCID: 0000-0002-4144-7090

Nikolaenko A.N.

Samara State Medical University

ORCID: 0000-0003-3411-4172

Ivanov V.V.

Samara State Medical University

ORCID: 0000-0002-2813-5826

Grankin I.O.

Samara State Medical University

ORCID: 0000-0001-9182-4483

Isaikin P.Yu.

Samara State Medical University

ORCID: 0000-0002-0460-6638

Doroganov S.O.

Samara State Medical University

ORCID: 0000-0001-7169-5370

Zgirsky D.O.

Samara State Medical University

Kotelnikov G.P.

Samara State Medical University

ORCID: 0000-0001-7456-6160

Received:

31.08.2022

Accepted:

02.11.2022

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References:

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