Fieschi S, et al. - This study describes mid-term outcomes of a third-generation first metatarsophalangeal (MTP-1) implant at a minimum follow-up of 5 years in a cohort. Findings demonstrated that a third generation MTP-1 arthroplasty design provided excellent mid-term clinical outcomes and survival rates. Also, this study corroborated the findings of recent studies regarding efficacy of silicone double-stemmed implants.