Joint-Preserving Procedure for Moderate Hallux Rigidus

• Published in: Foot and ankle clinics Vol. 17; no. 3; pp. 459 - 471
• Main Authors: Migues, A., MD, Slullitel, Gastón, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-09-2012
• Subjects: Adult; Biomechanical Phenomena; Degenerative arthritis; Female; Hallux limitus; Hallux rigidus; Hallux Rigidus - classification; Hallux Rigidus - etiology; Hallux Rigidus - physiopathology; Hallux Rigidus - therapy; Humans; Joint preservation; Male; Metatarsophalangeal Joint - physiopathology; Metatarsophalangeal Joint - surgery; Middle Aged; Orthopedics; Osteotomy; Range of Motion, Articular; Hallux rigidus; Hallux limitus; Degenerative arthritis; Joint preservation
• ISSN: 1083-7515; 1558-1934
• DOI: 10.1016/j.fcl.2012.06.006

Hallux rigidus is a condition characterized by pain and restriction in motion of the first metatarsophalangeal joint, especially in dorsiflexion. Surgical treatment depends on the etiology and severity of the deformity. Operative procedures are divided into joint-preserving techniques (cheilectomy, phalanx, and first metatarsal osteotomies) and joint-sacrificing techniques (arthrodesis, arthroplasty). This article presents a review of the literature and analyzes biomechanical aspects of hallux rigidus, its classification, and etiology, and discusses the available treatment options in the literature along with the authors' own preferred approach.