Long term results of the Toefit-Plus replacement for first metatarsophalangeal joint arthritis

There is a high rate of complications with the Toefit-Plus™ implant resulting in revision surgery. Patients should have the risks associated with arthroplasty clearly explained, including the risk of revision, and the option of arthrodesis should be discussed when planning surgery. Further trials and redesign of implants may help to improve results. The authors would not recommend the Toefit-Plus™ implant due to poor results seen in one third of patients.