title: Resurfacing of the Metatarsal Head to Treat Advanced Hallux Rigidus.
abstract: Advanced stages of hallux rigidus are usually treated with various arthroplasties or arthrodesis. Recent results with resurfacing of the metatarsal head have shown promising results and outcomes similar or superior to those of arthrodesis. In this article, the authors show their preoperative decision making, surgical techniques, postoperative management, results, and a comparative literature review to identify metatarsal head resurfacing as an acceptable technique for the treatment of advanced hallux rigidus in active patients. Key points in this article are adequate soft tissue release, immediate rigid fixation of the components, and appropriate alignment of the components.
authors: University of Pittsburgh Medical Center, Three Rivers Orthopaedic Associates, 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215, USA.
authors: Alex J
authors: AJ
authors: Kline
authors: University of Pittsburgh Medical Center, Three Rivers Orthopaedic Associates, 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215, USA. Electronic address: hasselmanct@upmc.edu.
authors: Carl T
authors: CT
authors: Hasselman
mesh_terms: D000368:Aged; D019643:Arthroplasty, Replacement / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006132:Growth Plate / Q000601:surgery*; D020859:Hallux Rigidus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008682:Metatarsal Bones / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D010147:Pain Measurement; D056888:Patient Positioning; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Arthroplasty; Great toe; Hallux limitus; Hallux rigidus; HemiCAP; Resurfacing