Surgical management of hallux rigidus: cheilectomy and osteotomy (phalanx and metatarsal).
Cheilectomy has long been the standard treatment in the orthopedic community for mild to moderate cases of hallux rigidus, with established long-term excellent results. Osteotomies of the proximal phalanx and first metatarsal have been described mainly in the podiatric literature; they have shown good outcomes in small patient groups with short-term follow-up. Proper patient selection is critical to obtaining favorable outcomes with any of the joint-sparing procedures. Patients with severe arthritic changes and pain in the midrange arc of motion have poorer outcomes with these procedures and are better served with joint-destructive procedures, such as arthroplasty or arthrodesis.
Seibert
Nicholas R
NR
Department of Orthopaedic Surgery, University of Michigan Hospitals, 1500 E Medical Center Drive, Taubman Center 2914, Ann Arbor, MI 48109, USA.
Kadakia
Anish R
AR
D005096:Exostoses / Q000209:etiology / Q000601:surgery*; D020859:Hallux Rigidus / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008682:Metatarsal Bones; D010027:Osteotomy; D050277:Toe Phalanges