Abstract
Summary Double-stem Swanson silastic arthroplasty was performed without grommets on the first metatarsophalangeal joints of 45 patients (62 feet). After a mean follow-up of 7 years 3 months (range, 5 years 1 month–9 years 10 months), 91% had been helped greatly with survivorship analysis revealing 94.4% implant survival at 10 years and significant improvements in scores for pain, ambulation, function and shoe wear ( P P
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