Smith & Nephew Toefit-plus | Used in Forefoot arthroplasty,  | Which Medical Device


Added Jan 30, 2012

Manufactured by Smith & Nephew

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The Toefit-Plus is a modular joint replacement for the first metatarsophalangeal joint intended for use in patients with hallux rigidis or other destructive conditions of the joint. The components are modular and can be used for either hemi- or total joint replacement. The total joint includes a polyethylene articulation. Stems are titanium and uncemented; the bearing surface is cobalt- chrome.

A study of 23 patients demonstrated an improvement in functional outcomes and range of movement after total joint replacement at 18 months.1 Another study demonstrated similar results for hemi- and total joint replacements, but more loosening in the latter group.2


1. Kiriakos Daniilidis, Nicolò Martinelli, Andrea Marinozzi, Vincenzo Denaro, Georg Gosheger, Ziai Pejman, Thomas Buchhorn. Recreational sport activity after total replacement of the first metatarsophalangeal joint: a prospective study. Int Orthop. 2010 October; 34(7): 973–979. Published online 2010 January 13. doi: 10.1007/s00264-009-0935-6

2. Barták V, Popelka S, Hromádka R, Pech J, Jahoda D, Sosna A. [ToeFit-Plus system for replacement of the first metatarsophalangeal joint]. [Article in Czech] Acta Chir Orthop Traumatol Cech. 2010 Jun;77(3):222-7.

National Institute for Health and Clinical Excellence: Interventional procedure overview - Metatarsal phalangeal joint replacement of the hallux



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