Hallux Rigidus

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Cheilectomy:Contradindications (Coughlin & Shurnas) • Extensive degenerative arthritis of first MTP joint • Articular cartilage degeneration >50% of metatarsal head
Osteotomy: phalangeal/metatarsal • Reshaping orientation creates more joint space (joint “decompression”) • Longer recovery • Complications – residual pain, reduced push-off strength, transfer of forces laterally • 2010 systematic review of the literature 73% of patients satisfied 23% required revision 31% developed metatarsalgia or stress fracture Authors recommendations “…should be used with caution or not at all.” • 2005 study – phalangeal and MT osteotomies 54% satisfaction with MT osteotomies, 65% with phalangeal osteotomies
Page 1 and 2: HALLUX RIGIDUS Mostafa Benyahia Div
Page 3 and 4: Hallux Rigidus Definition • Arthr
Page 5 and 6: Clinical Features H.R. • Painful,
Page 7 and 8: Grading (Hattrup & Johnson) • Gra
Page 9 and 10: (Coughlin & Shurnas) • Grade 2 1
Page 11 and 12: Grading - Regnauld • Grade I - fu
Page 13 and 14: Treatment • Nonoperative • Oper
Page 15 and 16: AOFAS MTP Scale Pain Function Align
Page 17 and 18: Surgical Options
Page 19 and 20: MacKay et al (1997) Cheilectomy res
Page 21: Débridement/Cheilectomy • Grade
Page 25 and 26: Moberg Indications? • Running ath
Page 27 and 28: Metatarsal Osteotomies for Hallux R
Page 29 and 30: Arthrodesis: Contraindications (Cou
Page 31 and 32: Arthroplasty - Interpositional •
Page 33 and 34: Silicone Interpositional Arthroplas
Page 35 and 36: 1 ST MTP Total Joint Arthroplasty -
Page 37 and 38: Hemiarthroplasty - Implant • Biop
Page 39 and 40: HemiCAP DF(Arthrosurface) -new form
Page 41 and 42: Contraindications: HemiCap • Hx o
Page 44: DF Implant: Advantages • For the
Page 48 and 49: Toe DF Design • Compound articula
Page 51 and 52: FLEXOR HALLICUS BREVIS
Page 53 and 54: FAVOR VIGOROUS AND ADEQUATE SOFT TI
Page 55 and 56: UHZ Sports Medicine Institute Class
Page 57 and 58: CLINICAL RESULTS Arthrosurface Hemi
Page 59 and 60: 2010 Carpenter et al 32 patients wi
Page 61 and 62: Summary HemiCap • Addresses side
Page 65 and 66: • 32 implants/30 patients • Gra

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