title: The Use of Osteotomy in the Management of Hallux Rigidus.
abstract: Metatarsus elevatus and gastrocnemius tightness contribute to the development of functional hallux rigidus. Although several osteotomies have been described for functional hallux rigidus, certain osteotomies are commonly used in practice for the correction of functional hallux rigidus, a long first metatarsal or an elevated metatarsal, or an unstable tarsometatarsal joint. Proximal plantarflexion osteotomy is used only in the presence of an elevated first metatarsal with a limit to dorsiflexion but without the presence of arthritis at the first metatarsophalangeal joint. In the presence of arthritis at the metatarsophalangeal joint, the decision is between an oblique distal metatarsal osteotomy and the shortening periarticular osteotomy.
authors: Trauma and Orthopaedic Surgery, Central Manchester University Hospitals - NHS Foundation Trust, Oxford Road, Manchester, UK. Electronic address: shariffstays@gmail.com.
authors: Raheel
authors: R
authors: Shariff
authors: The Institute for Foot and Ankle Reconstruction at Mercy Medical Centre, 301 St Paul Pl, Baltimore, MD 21202, USA.
authors: Mark S
authors: MS
authors: Myerson
mesh_terms: D000328:Adult; D000368:Aged; D019468:Disease Management; D005260:Female; D005500:Follow-Up Studies; D020859:Hallux Rigidus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D010147:Pain Measurement; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Functional hallux rigidus; Metatarsalphalangeal joint; Osteotomies for hallux rigidus; Osteotomy