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["Hallux rigidus"--a global problem?].

N Wülker1

  • 1Orthopädische Universitätsklinik, Tübingen. wuelker@med.uni-tuebingen.de

Therapeutische Umschau. Revue Therapeutique
|September 10, 2004
PubMed
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Hallux rigidus, a great toe motion limitation, is caused by degenerative arthrosis. Treatment ranges from conservative measures to surgical interventions like cheilectomy, arthrodesis, or resection arthroplasty, with varying outcomes based on patient activity levels.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Sports Medicine

Background:

  • Hallux rigidus involves limited motion and pain in the great toe, often due to degenerative arthrosis of the first metatarsophalangeal joint.
  • Early radiographic findings may be normal, with degeneration progressing dorsally over time.

Purpose of the Study:

  • To review the diagnosis and treatment options for hallux rigidus.
  • To compare the efficacy of different surgical interventions for advanced hallux rigidus.

Main Methods:

  • Review of conservative treatments including anti-inflammatory applications and orthopaedic appliances.
  • Description of surgical techniques: cheilectomy (joint-preserving), arthrodesis (fusion), and resection arthroplasty.
  • Evaluation of treatment outcomes based on patient age and activity level.

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Main Results:

  • Conservative treatments aim to reduce load on the metatarsophalangeal joint.
  • Cheilectomy involves resecting the degenerated dorsal portion of the first metatarsal head.
  • Arthrodesis is preferred for active, younger patients with complete joint destruction, while resection arthroplasty is used for less active, elderly patients.

Conclusions:

  • Surgical intervention choice depends on disease severity and patient factors.
  • Arthrodesis generally yields better outcomes than resection arthroplasty for hallux rigidus.