Clinical Data

Safety, efficacy and survivorship through short, medium and long-term peer-reviewed publications.

The proven solution with a

20 YEAR

Clinical History

Summarised Literary Review over the 6 Peer-Reviewed Clinical Papers

Short, Mid and Long-term Event Summary derived from Published Literature
Author
No. of patients / implants
Follow up time after procedure (avg / range)
Analysis and Findings
Prof. Rajan -Single Centre, UK

30 / 30

16 / 6 - 24 mos.

  • Loosening of phalangeal component requiring revision
  • Osteolysis in phalangeal components (1 required revision)
Prof. Richter (ex-President EFAS) - Single Centre, Germany

25 / 25

45.7 / 25  – 80 mos.

  • 1 poly revision noted in Q1 2020 due to joint tightness
Karpe, Single Centre, UK

28 / 34

27.7 / 7  - 44 mos.

  • 2 minor osteolysis below the metatarsal head at 12 mos. post-op (did not correlate with onset of any new symptoms)
Tunstall (Lead by 2 ex-Presidents of BOFAS), Multi Centre, UK

30 / 33

16.9 / 12  - 29 mos.

  • No lysis seen
Prof. Kofoed (ex-President EFAS), Single Centre, Denmark

80 / 90

11.5 / 7  - 15 yrs

  • No osteolysis or implant loosening observed
  • 1 dislocation (explant)
Wetke, Single Centre, Denmark

12 / 12

3.1 / 1  - 7.2 yrs

  • No failures noted
  • Patients reviewed for effects /improvements in Bone Mineral Density
Total

205/224

50 mos. avg

  • Dislocation: 1 report, resulted in explant
    Event rate: 0.4% (1/224)
    Revision rate: 0.4% (1/224)
  • Osteolysis: 4 reports, 1 required revision
    Event rate: 1.8% (4/224)
    Revision rate: 0.4%  (1/224)
  • Loosening: 1 report. Resulted in explant
    Event rate:     0.4% (1/224)
    Revision rate:     0.4% (1/224)
Author/Date
Paper
Rajan et al. – 2025

Outcomes Following First Metatarsophalangeal Joint Replacement Using the ROTOglide® Prosthesis
Foot & Ankle International

  • Significant and sustained improvement in patient-reported outcomes
  • Approximately 89% implant survivorship at long-term follow-up
Rajan et al. – 2021

A Prospective Clinical and Biomechanical Analysis of Feet Following First Metatarsophalangeal Joint Replacement
Gait & Posture (July)

Rajan et al. – 2024

A Prospective Clinical and Biomechanical Analysis of Feet Following First Metatarsophalangeal Joint Arthrodesis for End-Stage Hallux Rigidus (May)

Rajan et al. – 2022

Normal 1st–5th Metatarsal Peak Pressure and Pressure-Time Integral Ratios
The Foot

Guzmán et al. – 2024

Arthrodesis vs Arthroplasty for Moderate and Severe Hallux Rigidus
Foot and Ankle Surgery

Roukis – 2011

Nonunion After Arthrodesis of the First Metatarsophalangeal Joint
Journal of Foot & Ankle Surgery

Roukis et al. – 2024

ACFAS Clinical Consensus Statements: Hallux Rigidus
Journal of Foot & Ankle Surgery

Dawson et al. – 2006

A Patient-Based Questionnaire to Assess Outcomes of Foot Surgery: Validation in the Context of Surgery for Hallux Valgus
Quality of Life Research

Dawson et al. – 2007

Responsiveness and Minimally Important Change for the MOXFQ
Osteoarthritis and Cartilage

Chan et al. – 2017

Minimal Clinically Important Differences for the AOFAS Score
Foot & Ankle International

Martin et al. – 2005

Evidence of Validity for the Foot and Ankle Ability Measure (FAAM)
Foot & Ankle International

Richter et al. – 2006

A New Foot and Ankle Outcome Score: VAS-FA
Foot and Ankle Surgery

Richter et al. – 2018

EFAS Score: Multilingual Development and Validation
Foot and Ankle Surgery

Shazadeh Safavi et al. – 2018

A Systematic Review of Outcome Evaluation Tools for the Foot and Ankle
Foot & Ankle Specialist

Roukis – 2023

The FDA MAUDE Database and Orthopaedic Implants
FASTRAC Editorial

Kotelnikov et al. – 2024

Evolution of the First Metatarsophalangeal Joint Replacement

Prof. Richter – 2022

Comparison of Total Joint Replacement With Arthrodesis of the First Metatarsophalangeal Joint
‍Foot & Ankle International (2022)

Prof. Rajan – May 2021

Systematic Review of Total Arthroplasty and Arthrodesis for End-Stage Hallux Rigidus: A Biomechanical PerspectiveT
he Foot (2021)

França – 2021

Biomechanical and Functional Outcomes in Forefoot Surgery

Prof. Richter – 2020

Contemporary Use of Validated Outcome Measures in Foot Surgery

Prof. Kofoed – 2017

Clinical Outcomes of Motion-Preserving First MTP Joint Surgery

I. Schmidt – 2015

Clinical Outcomes Following First MTP Joint Procedures

Overall survivorship statistic of
94.65%
*Toes surviving / Total toes implanted over 20 years
15 year Kaplan-Meier survivorship statistic of
91.2%

Listen to the podcast by Prof. Rajan

Download MP3

Read Prof. Kofoed’s 15 year follow up

Download PDF
This is the only total MTP joint implant that allows constant adaption of the great toe towards the ground surface under stable conditions due to the rotation between the phalangeal implant and the meniscus.
Professor Hakon Kofoed
ROTOglide offers a practical and well-tested alternative to fusion for those patients wishing to maintain movement in their arthritic great toe.
Mr Patrick Laing & Mr. Chris Walker
The only total joint replacement with positive evidence regarding function and clinical outcome
Prof. Dr. med. Martinus Richter

Interested?

Get in touch and we can help
set you on the right path.

Register your interest
By clicking 'Accept', you agree to the storing of cookies on your device to help us analyse site usage and improve our marketing. View Policy.
Preferences
Opt outAccept