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Surgical Management of Hallux Rigidus

Deland, Jonathan Thorndike MD; Williams, Benjamin Roller

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: June 2012 - Volume 20 - Issue 6 - p 347–358
doi: 10.5435/JAAOS-20-06-347
Review Article

Hallux rigidus is the most common degenerative joint pathology of the foot. Untreated, it may result in notable limitations in gait, activity level, and daily function. Positive outcomes can be achieved with nonsurgical management; surgery is recommended for the sufficiently symptomatic patient for whom nonsurgical measures are unsuccessful. Surgery is selected based on grade of involvement. Early to mid-stage hallux rigidus is best managed with cheilectomy or cheilectomy and proximal phalanx osteotomy. Arthrodesis and arthroplasty are reserved for late-stage hallux rigidus.

From the Hospital for Special Surgery, New York, NY.

Dr. Deland or an immediate family member serves as a paid consultant to or is an employee of Arthrex, Tornier, and Zimmer. Neither Mr. Williams nor an immediate family member has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article.

J Am Acad Orthop Surg 2012;20: 347–358

http://dx.doi.org/10.5435/JAAOS-20–06–347

© 2012 by American Academy of Orthopaedic Surgeons
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