title: End-stage osteoarthritis of the great toe/hallux rigidus: a review of the alternatives to arthrodesis: implant versus osteotomies and arthroplasty techniques.
abstract: 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.
authors.affiliation: Saint Vincent's Hospital System, Indianapolis, IN, USA. adperler@gmail.com
authors.forename: Adam D
authors.initials: AD
authors.lastname: Perler
authors.forename: Victor
authors.initials: V
authors.lastname: Nwosu
authors.forename: Drew
authors.initials: D
authors.lastname: Christie
authors.forename: Kellie
authors.initials: K
authors.lastname: Higgins
mesh_terms: D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D001178:Arthroplasty / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D020859:Hallux Rigidus / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011474:Prosthesis Design / Q000379:methods*; D019919:Prosthesis Implantation / Q000379:methods; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Arthrodesis; Cheilectomy; First metatarsophalangeal joint; Hallux rigidus; Hemiarthroplasty; Interpositional arthroplasty; Partial joint replacement; Total joint replacement