Abstract
The purpose of this study was to evaluate the outcome of biological arthroplasty according to clinical and radiographic parameters over a long period of time. Biological arthroplasties in 35 feet were analysed at an average follow-up time of 7 years and a mean patient age of 39. The procedure involves a sparing resection and remodelling of the first metatarsal head, which is then covered with a pedunculated capsular flap to produce a biological arthroplasty. There were 27 ‘good’ results (77%), five ‘fair’ results (14%) and three ‘poor’ results (8%). This review suggests that biological arthroplasty can be effective when used with patients who are carefully selected according to age, activity level and diagnosis.
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