{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:34:38Z","timestamp":1785411278141,"version":"3.56.0"},"reference-count":16,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"introduction\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hallux rigidus is a degenerative arthropathy of the first MTP causing significant discomfort and pain to the patient. Treatment options include a conservative and surgical approach. This report and review describe cases of using all-ceramic implants for 3 patients, conceptualized through a comprehensive literature review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective case series reports 3 patients undergoing surgery on implanting an all-ceramic implant to the first MTP with 6-month follow-up. The comprehensive literature review for the use of ceramic implants was done.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"case-series\">\n                    <jats:title>Case Series<\/jats:title>\n                    <jats:p>3 patients underwent implantation of an all-ceramic first MTP. The AOFAS score was calculated before surgery and during follow-up. Results show improvement in the AOFAS score and preservation of the results over time. The radiographic examination revealed stability of the implant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"discussion\">\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The results of this case series align with early reports in the literature suggesting promising short-term benefits of ceramic MTP joint arthroplasty. While case series with longer follow-up report controversial results, the limitations of studies and lack of RCTs show the need for additional investigations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ceramic MTP joint arthroplasty offers significant short-term relief and functional gains. Longer-term follow-up is essential to identify whether these improvements are sustained and assess the risk of complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.52965\/001c.158578","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T15:25:29Z","timestamp":1774625129000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical Treatment of End-Stage Hallux Rigidus Using a Total All-Ceramic Endoprosthesis: A Short-Term case series and literature review"],"prefix":"10.52965","volume":"18","author":[{"given":"Aset","family":"Nurakhmetov","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02z5czc07","id-type":"ROR","asserted-by":"publisher"}],"name":"Samara State Medical University","department":["Traumatology, Orthopedics, and Extreme Surgery"]},{"name":"National Scientific Center of Traumatology and Orthopedics named after Academician Batpenov N.D","department":["Othopedics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandr","family":"Petrov","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/052bx8q98","id-type":"ROR","asserted-by":"publisher"}],"name":"Nazarbayev University","department":["School of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrey","family":"Nikolaenko","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02z5czc07","id-type":"ROR","asserted-by":"publisher"}],"name":"Samara State Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayrat","family":"Tazhin","sequence":"additional","affiliation":[{"name":"National Scientific Center of Traumatology and Orthopedics named after Academician Batpenov N.D"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1053\/j.jfas.2009.08.009","article-title":"Moje first metatarsophalangeal replacement\u2014a case series with functional outcomes using the AOFAS-HMI score","volume":"49","author":"M. 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