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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
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Complications of Hallux Rigidus Surgery
Maj Patrick D Grimm1, Todd A Irwin2
1Dwight D. Eisenhower Army Medical Center, 300 West Hospital Road, Fort Gordon, GA 30905, USA.
Foot and Ankle Clinics
|June 9, 2022
Summary
Hallux rigidus surgical options include joint preservation, arthrodesis, and arthroplasty. Distraction bone block arthrodesis with autograft is recommended for failed arthroplasty cases with bone loss.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
Background:
- Hallux rigidus is a common degenerative condition affecting the first metatarsophalangeal joint.
- Treatment options range from conservative management to surgical interventions.
Purpose of the Study:
- To review surgical treatment modalities for hallux rigidus.
- To discuss complications associated with different surgical approaches.
- To recommend a salvage procedure for failed arthroplasty.
Main Methods:
- Review of existing literature on hallux rigidus surgical treatments.
- Analysis of reported outcomes and complications for joint preserving techniques, arthrodesis, and arthroplasty.
- Evaluation of salvage options for complex cases.
Main Results:
- Joint preserving techniques may lead to arthritis progression, persistent pain, and transfer metatarsalgia.
- Arthrodesis offers good outcomes but requires precise technique to prevent nonunion or malunion.
- Arthroplasty preserves motion but can result in bone loss upon failure.
Conclusions:
- Distraction bone block arthrodesis using structural autograft is a viable option for managing failed arthroplasty with bone loss in hallux rigidus.
- Careful surgical technique is crucial for successful outcomes in all hallux rigidus procedures.
