what's new in surgical options for hallux rigidus? by sandro giannini, francesco ceccarelli,...

What's New in Surgical Options for Hallux Rigidus?

by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca Vannini

J Bone Joint Surg AmVolume 86(suppl 2):72-83

December 1, 2004

©2004 by The Journal of Bone and Joint Surgery, Inc.

During the propulsive phase of gait, the hallux is unable to dorsiflex adequately.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiographic classification of hallux rigidus.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Plantar release for grade-0 hallux rigidus.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Sliding osteotomy for grade-1 hallux rigidus.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Modified chevron osteotomy for grade-1 hallux rigidus.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Cheilectomy for grade-2 hallux rigidus.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Arthrodesis for grade-3 hallux rigidus.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Arthrodesis.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Arthroplasty with use of a poly(DL-lactic acid) spacer.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Scores on the American Orthopaedic Foot and Ankle Society scale obtained preoperatively and at the time of follow-up.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

The mean range of motion of the first metatarsophalangeal joint, measured preoperatively and at the time of follow-up, in patients who did not undergo arthrodesis of the first

metatarsophalangeal joint.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Figs. 12-A and 12-B The foot of a twenty-eight-year-old man with grade-0 hallux rigidus.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

An excellent radiographic (B) and clinical (B) result was maintained at four years after a plantar release.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

The foot of a forty-five-year-old woman with grade-1 posttraumatic hallux rigidus associated with a valgus deformity (A).

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.

A fifty-two-year-old woman with grade-3 hallux rigidus following a failed Keller procedure.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83

©2004 by The Journal of Bone and Joint Surgery, Inc.