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Updated: Apr 26, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
[Proposed global treatment algorithm for hallux rigidus according to evidence-based medicine]
M Herrera-Pérez1, C Andarcia-Bañuelos2, J de Bergua-Domingo2
1Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Canarias, Tenerife, España; Facultad de Medicina, Universidad de La Laguna, Tenerife, España; Unidad de Tobillo y Pie, Hospital Universitario de Canarias, Tenerife, España.
Introduction:
Hallux rigidus is the most common arthritis of the foot and ankle. There are numerous reviews on the surgical treatment, but few publications that address the effectiveness of conservative treatment.
Objective:
To present a comprehensive algorithm for treatment of all grades of this disease.
Methods:
Literature search in the following sources: Pubmed and PEDro database (physiotherapy evidence database) until October 2013 for articles on treatment hallux rigidus to record levels of evidence.
Results:
A total of 112 articles were obtained on conservative treatment and 609 on surgical treatment. Finally, only 4 met the inclusion criteria.
Conclusions:
The use of orthoses or footwear modifications, infiltration with hyaluronate, cheilectomy in moderate degrees and the metatarsophalangeal arthrodesis for advanced degrees, are the only procedures contrasted with grade B or moderate evidence in the treatment of hallux rigidus.

