Skip to main content

Advertisement

SpringerLink
Log in

Arthrodesis in the treatment of hallux rigidus

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

We reviewed 34 patients (38 joints) with hallux rigidus treated from 1989 to 1999 with arthrodesis of the first metatarsophalangeal joint. Average patient age at time of surgery was 52 (24–71) years, and the mean follow-up was 54 (18–116) months. There were six superficial infections, and all arthrodeses united. There was a good functional result with a significant pain reduction. The mean postoperative American Orthopaedic Foot and Ankle Society (AOFAS) score was 53 (5–84) points.

Résumé

Nous avons examiné 34 malades (38 articulations) traités de 1989 à 1999 pour hallux rigidus par arthrodèse de la première métatarso-phalangienne. L'age moyen des malades à la chirurgie était de 52 ans (24-71) et le suivi moyen étaient de 54 mois (18-116). Il y avait six infections superficielles et toutes les arthrodèses ont fusionné. Il y avait un bon résultat fonctionnel avec une réduction notable de la douleur. Le score AOFAS moyen post-opératoires était de 53 points (5-84).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.

Similar content being viewed by others

References

  1. Chana GS, Andrew TA, Cotterill CO (1984) A simple method of arthrodesis of the first metatarsophalangeal joint. J Bone Joint Surg [Br] 22:555–558

    Google Scholar 

  2. Citron N and Neil M (1987) Dorsal wedge osteotomy of the proximal phalanx for hallux rigidus. Long term results. J Bone Joint Surg [Br] 69:835–837

    Google Scholar 

  3. Clutton, HH (1894): The treatment of hallux valgus. St. Thom. Hosp. Rep., 22:1–12

  4. Coughlin MJ (1990) Arthrodesis of the first metatarsophalangeal joint. Orthop Rev 19:177–186

    CAS  PubMed  Google Scholar 

  5. Cracchiolo A, Weltmer JB, Lian G, Dalseth T, Dorey F (1992) Arthroplasty of the first metatarsophalangeal joint with a double–stem silicone implant. J Bone Joint Surg [Am] 74: 552–563

    Google Scholar 

  6. DeFrino PF, Brodsky JW, Pollo FE, Crenshaw SJ, Beischer AD (2002) First metatarsophalangeal arthrodesis: a clinical, pedobarographic and gait analysis study. Foot Ankle Int 23:496–502

    PubMed  Google Scholar 

  7. Feltham GT, Hanks SE, Marcus RE (2001) Age-based outcomes of cheilectomy for the treatment of hallux rigidus. Foot Ankle Int 22:192–197

    CAS  PubMed  Google Scholar 

  8. Fitzgerald JA (1969) A review of long-term results of arthrodesis of first metatarso-phalangeal joint. J Bone Joint Surg [Br] 51:488–494

    Google Scholar 

  9. Fitzgerald JA, Wilkinson JM (1981) Arthrodesis of the metatarsophalangeal joint of the great toe. Clin Orthop 157:70–77

    PubMed  Google Scholar 

  10. Gregory JL, Childers R, Higgins KR, Krych SM, Harkless LB (1990) Arthrodesis of the first metatarsophalangeal joint: a review of the literature and long–term retrospective analysis. J Foot Surg 29: 369–374

    CAS  PubMed  Google Scholar 

  11. Jahss M (1982) The hallux. In: Jahss M (ed) Disorders of the foot, W.B. Saunders, Philadelphia, pp. 608–616

  12. Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JA, Myerson MS, Sanders M (1994) Clinical rating systems for the ankle–hindfoot, midfoot, hallux and lesser toes. Foot Ankle Int 15: 349–353

    CAS  PubMed  Google Scholar 

  13. Mann RA, and Clanton TO (1988) Hallux rigidus: Treatment by cheilectomy. J Bone Joint Surg [Am] 70: 400–406

    Google Scholar 

  14. Mann RA, Coughlin MJ (1992) Adult hallux valgus. In: Mann RA, Coughlin MJ (eds) Surgery of the foot and ankle. Mosby, St. Louis, pp. 167–296

  15. Mann RA, Oates JC (1980) Arthrodesis of the first metatarsophalangeal joint. Foot Ankle 1:159–166

    CAS  PubMed  Google Scholar 

  16. McKeever DC (1952) Arthrodesis of the first metatarsophalangeal joint for hallux valgus, hallux rigidus and metatarsus primus varus. J Bone Joint Surg 34:129–134

    Google Scholar 

  17. Moynihan FJ (1967) Arthrodesis of the first metatarsophalangeal joint of the great toe. J Bone Joint Surg [Br] 49: 544–551

    Google Scholar 

  18. O'Doherty DP, Lowrie IG, Magnussen PA, Gregg PJ (1990) The management of the painful first metatarsophalangeal joint in the older patient. J Bone Joint Surg [Br] 72:839–843

    Google Scholar 

  19. Olms K, Dietze A (1999) Replacement arthroplasty for hallux rigidus. 21 patients with 2-year follow-up. Int Orthop 23:240–243

    Article  CAS  PubMed  Google Scholar 

  20. Ronconi P, Monachino P, Baleanu PM, Favilli G (2000) Distal oblique osteotomy of the first metatarsal for the correction of hallux limitus and rigidus deformity. J Foot Ankle Surg 39:154–160

    CAS  PubMed  Google Scholar 

  21. Ross Smith N (1952) Hallux valgus and rigidus treated by arthrodesis of the metatarsophalangeal joint. Br Med J 2: 1385–1387

    Google Scholar 

  22. Sage RA, Lam AT, Taylor DT (1997) Retrospective analysis of first metatarsal phalangeal arthrodesis. J Foot Ankle Surg 36: 425–429

    CAS  PubMed  Google Scholar 

  23. Salis-Soglio G (1982) Die Arthrodese des Großzehengrundgelenkes – Ein Erfahrungsbericht. Z Orthop 120: 280

    PubMed  Google Scholar 

  24. Salis-Soglio G (1991) Die Arthrodese des Großzehengrundgelenkes mit Kleinfragmentplatte. Operat Orthop Traumatol 3:107–116

    Google Scholar 

  25. Samnegard E, Turan I, Lanshammar H (1991) Postoperative evaluation of Keller`s arthroplasty and arthrodesis of the first metatarsophalangeal joint using EMED gait analysis system. J Foot Surg 36:136–140

    Google Scholar 

  26. Shereff MJ, Baumhauer JF (1998) Current concepts review. Hallux rigidus and osteoarthritis of the first metatarsophalangeal joint. J Bone Joint Surg [Am] 80:898–908

    Google Scholar 

  27. Turan I, Lindgren U (1987) Compression–screw arthrodesis of the first metatarsophalangeal joint of the foot. Clin Orthop 221:292–295

    PubMed  Google Scholar 

  28. Wilson CL (1958) A method of fusion of the metatarsophalangeal joint. J Bone Joint Surg [Am] 40:384–385

    Google Scholar 

  29. Wilson JN (1967) Cone arthrodesis of the first metatarsophalangeal joint. J Bone Joint Surg [Br] 49:98–101

    Google Scholar 

  30. Wu KK (1993) Arthrodesis of the metatarsophalangeal joint of the great toe with Herbert screws: A clinical analysis of 27 cases. J Foot Ankle Surg 32:47–52

    CAS  PubMed  Google Scholar 

  31. Wülker N (1996) [Arthrodesis of the metatarsophalangeal joint of the large toe] Orthopaede 25:187–193

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedics, Julius-Maximillian University Wuerzburg, Brettreichstraße 11, 97074, Wuerzburg, Germany

    V. Ettl, S. Radke, M. Gaertner & M. Walther

Authors
  1. V. Ettl
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Radke
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Gaertner
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Walther
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Walther.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ettl, V., Radke, S., Gaertner, M. et al. Arthrodesis in the treatment of hallux rigidus. International Orthopaedics (SICOT) 27, 382–385 (2003). https://doi.org/10.1007/s00264-003-0492-3

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-003-0492-3

Keywords

Search

Navigation