Treatment of Advanced Stages of Hallux Rigidus with Cheilectomy and Proximal Phalangeal Osteotomy

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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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Rate of Revision Following Cheilectomy Versus Decompressional Osteotomy in Early-Stage Hallux Rigidus

Hallux rigidus, or localized osteoarthritis of the fi rst metatarsophalangeal joint, is a very common pathological condition that is often painful and disabling. This is the most common form of arthritis in the foot and has been estimated to affect up to 1 in 45 adults over the age of 50 (1). A progression of deformity is involved, beginning with mild impaired function, continuing on to increas...

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Phalangeal Osteotomy for Hallux Valgus

Adequate correction of hallux valgus may be attempted at various levels of the first ray complex, depending on appropriate determination of the apex of the deformity. Methods of correction may include first metatarsal base osteotomy and first metatarsal head osteotomy as well as uncomplicated first metatarsophalangeal joint soft tissue realignment. In those instances in which the major deformit...

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Scarf osteotomy with or without proximal phalangeal osteotomy for severe hallux valgus deformity.

PURPOSE To report outcome of Scarf osteotomy with or without proximal phalangeal osteotomy for correction of severe hallux valgus deformity. METHODS Records of 48 women and 4 men aged 28 to 68 (mean, 52) years who underwent 57 Scarf osteotomies with or without proximal phalangeal osteotomy for severe hallux valgus by a single surgeon were reviewed. The patients had a hallux valgus angle (HVA)...

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Dorsal wedge osteotomy of the proximal phalanx for hallux rigidus. Long-term results.

Eight women had 10 toes treated for hallux rigidus by dorsal wedge osteotomy of the proximal phalanx and were reviewed after an average follow-up of 22 years. Five toes were symptom-free, four others did not restrict walking, and only one had required metatarsophalangeal fusion. We conclude that dorsal wedge osteotomy affords long-lasting benefits for hallux rigidus in the adolescent female.

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ژورنال

عنوان ژورنال: JBJS Essential Surgical Techniques

سال: 2013

ISSN: 2160-2204

DOI: 10.2106/jbjs.st.m.00026