Hallux rigidus: cheilotomy or implant?
Fifty-one feet in 42 patients with varying degrees of symptomatic hallux rigidus and with 2 years of follow-up have been operated with excellent results. Cheilotomy was performed in all cases with only cheilotomy employed in the young patients and implant surgery (single-stem silicone) reserved for the older and more advanced arthritis cases. Pain generally disappeared within 3 months. Range of toe motion in dorsiflexion increased. All patients returned to their activity of choice. All patients were able to utilize off-the-shelf footwear postoperatively. There have been no fractures or inflammatory reactions of the implants as yet, including those inserted 4 or more years ago.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D007595:Joint Prosthesis / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects; D011859:Radiography; D014033:Toe Joint / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*