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The literature on treatment of advanced arthritic changes in the lesser metatarsophalangeal joints is sparse. Options include fusion, resection or interpositional arthroplasty, biological resurfacing, as well as silastic or metallic joint replacement. Little data surround the use of a metallic hemiarthroplasty of the lesser metatarsal heads, and clinical outcomes data for the mid-term to long-term results is currently nonexistent. Level of Evidence: Diagnostic Level 5. See Instructions for Authors for a complete description of levels of evidence.
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Feinblatt et al. (2014) studied this question.
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