Resection arthroplasty with and without capsular interposition for treatment of severe hallux rigidus

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Free gracilis interposition arthroplasty for severe hallux rigidus.

Surgery for the management of hallux rigidus aims to relieve pain and improve function. Arthrodesis, though reliable in terms of pain relief may encounter some resistance from patients reluctant to have a fusion. Results of other techniques, such as silastic implants, may give poor long-term results. Excisional arthroplasty and cheilectomy are also routinely used. Interposition arthroplasty has...

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BACKGROUND Hallux rigidus is a common problem characterized by localized osteoarthritis and limited range of motion of the hallux. First metatarsophalangeal joint arthrodesis has been the accepted procedure for the treatment of late-stage disease. Despite the success of arthrodesis, some patients object to the notion of eliminating motion at the metatarsophalangeal joint. For this reason, motio...

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Hallux rigidus: treatment by cheilectomy.

Cheilectomy, the excision of an irregular osseous rim that interferes with motion of a joint, was performed on the distal part of the first metatarsal of twenty-five patients who had hallux rigidus. Relief of pain was achieved in all but three patients, whose cases were considered as failures. Joint motion improved by an average of 20 degrees, and it was in an acceptable range in twenty-three p...

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Hallux Rigidus: A Treatment Algorithm

First metatarsophalangeal joint osteoarthritis, commonly known as hallux rigidus, is a progressive disabling condition. Several staging classification systems exist. We present a staging system incorporating radiographic findings, range of motion, and presence or absence of mid-motion pain and sesamoid pain. On the basis of these clinically significant variables, we present an algorithm for tre...

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Hallux rigidus

An estimated 40% of the US population have foot problems.Of all patients aged over 50 years, 2.5% report degenerative arthritis of the first metatarsophalangeal (MTP) joint, termed 'hallux rigidus'. First MTP osteoarthritis is the most common arthritic condition in the foot.Progression of great toe arthritis is associated with pain and loss of motion. Non-surgical intervention begins with shoe ...

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ژورنال

عنوان ژورنال: International Orthopaedics

سال: 2007

ISSN: 0341-2695,1432-5195

DOI: 10.1007/s00264-007-0457-z