End-Stage Osteoarthritis of the Great Toe/Hallux Rigidus

Hallux rigidus is defined as end-staged arthrosis of the first metatarsophalangeal joint. Although the literature supports arthrodesis as being the gold standard for the treatment of end-staged hallux rigidus, there are several other treatments available that can either prolong the life of the remai...

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Bibliographic Details
Published in:	Clinics in podiatric medicine and surgery Vol. 30; no. 3; pp. 351 - 395
Main Authors:	Perler, Adam D., DPM, Nwosu, Victor, DPM, Christie, Drew, DPM, Higgins, Kellie, DPM
Format:	Journal Article
Language:	English
Published:	Elsevier Inc 01-07-2013
Subjects:	Arthrodesis Cheilectomy First metatarsophalangeal joint Hallux rigidus Hemiarthroplasty Interpositional arthroplasty Partial joint replacement Surgery Total joint replacement Partial joint replacement Interpositional arthroplasty Total joint replacement First metatarsophalangeal joint Cheilectomy Hallux rigidus Arthrodesis Hemiarthroplasty
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Summary:	Hallux rigidus is defined as end-staged arthrosis of the first metatarsophalangeal joint. Although the literature supports arthrodesis as being the gold standard for the treatment of end-staged hallux rigidus, there are several other treatments available that can either prolong the life of the remaining joint or artificially mimic the original biomechanics by replacing a portion of or the entire joint with the added advantage of preserving joint mobility. There are several new and emerging joint preservative techniques that may delay or prevent the need for a joint-destructive procedure, such as arthrodesis or arthroplasty.
ISSN:	0891-8422 1558-2302
DOI:	10.1016/j.cpm.2013.04.011