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Surgical management of hallux rigidus: cheilectomy and osteotomy (phalanx and metatarsal)



Surgical management of hallux rigidus: cheilectomy and osteotomy (phalanx and metatarsal)



Foot and Ankle Clinics 14(1): 9-22



Cheilectomy has long been the standard treatment in the orthopedic community for mild to moderate cases of hallux rigidus, with established long-term excellent results. Osteotomies of the proximal phalanx and first metatarsal have been described mainly in the podiatric literature; they have shown good outcomes in small patient groups with short-term follow-up. Proper patient selection is critical to obtaining favorable outcomes with any of the joint-sparing procedures. Patients with severe arthritic changes and pain in the midrange arc of motion have poorer outcomes with these procedures and are better served with joint-destructive procedures, such as arthroplasty or arthrodesis.

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Accession: 056031936

Download citation: RISBibTeXText

PMID: 19232988

DOI: 10.1016/j.fcl.2008.11.002


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