End-stage hallux rigidus: cheilectomy, implant, or arthrodesis?
End-stage arthritis of the first metatarsophalangeal joint (MTPJ) typically results in anexophytic process with marked limitation of motion. Pain may occur from the degenerative process itself and/or the bone spur formation that may become directly inflamed from shoe gear. The best surgical treatment for end-stage arthrosis of the big toe joint continues to be a controversial topic despite hallux rigidus being recognized clinically for more than 100 years. Although joint-sparing procedures are considered, arthrodesis is recommended, as this procedure is definitive and produces predictable results.
Kaiser San Francisco Bay Area Foot and Ankle Residency Program, Kaiser Foundation Hospital, 280 West MacArthur Boulevard, Oakland, CA 94611, USA.
Ruth A
RA
Peace
Graham A
GA
Hamilton
D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D019643:Arthroplasty, Replacement / Q000295:instrumentation / Q000379:methods*; D018450:Disease Progression; D020859:Hallux Rigidus / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008683:Metatarsophalangeal Joint / Q000601:surgery*; D054850:Osteophyte / Q000601:surgery*; D017060:Patient Satisfaction; D018579:Patient Selection; D016896:Treatment Outcome