Hallux Rigidus

Coughlin, Michael J.; Shurnas, Paul S.

doi:10.2106/00004623-200311000-00003

Cited by 477 publications

(97 citation statements)

References 58 publications

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“…The percutaneous MTP1 fusion is a simple and quick procedure which can achieve functional results comparable to those obtained with open MTP1 fusion with more than 90% of patients satisfied [Womack [7], Goucher [13], Coughlin [19], Flavin [20], Brodsky [21], Yee [22].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous First Metatarso-Phalangeal Joint Fusion

Bauer

2010

Minimally Invasive Surgery of the Foot and Ankle

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Abstract:The first metatarsophalangeal (MTP1) joint fusion is a very useful procedure in forefoot surgery and is still the gold standard for the treatment of severe and painful hallux rigidus. Normal walking and running are possible after MTP1 fusion, the first ray mobility being essentially in the interphalangeal (IP) joint with a compensatory hypermobility in dorsal flexion. Percutaneous MTP1 fusion is a simple procedure providing comparable results to fusions performed with open techniques. Postoperative cares are simplified with an immediate full weight bearing on rigid flat shoes and quick return to normal walking. Bone preparation is an important step and requires an experience in percutaneous forefoot surgery. Arthrodesis positioning and fixation with this percutaneous procedure are simple with possibility of clinical and radiological control. The indications for percutaneous MTP1 fusion are very large and only severe bone loss or osteoporosis represent the limits for this technique.

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Section: Discussionmentioning

confidence: 99%

Percutaneous First Metatarso-Phalangeal Joint Fusion

Bauer

2010

Minimally Invasive Surgery of the Foot and Ankle

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“…All preoperative radiographs were evaluated to consensus by the same 3 (N.N., C.H., J.C.). The radiographic grade of degenerative joint disease of the first MTPJ was determined using the Coughlin and Shurnas 2004 classification (10). The other radiographic parameters evaluated included the presence of dorsal first metatarsal head osteophytes, a periosteal reaction surrounding the sesamoids suggestive of sesamoiditis, and a break in the cyma line that correlated with the calcaneal inclination angle to determine the patient's foot type (rectus, pes planus, or pes cavus).…”

Section: Methodsmentioning

confidence: 99%

“…The postoperative radiographs were compared with the preoperative radiographs (Figs. [8][9][10][11]. The postoperative course consisted of protected weightbearing in a surgical shoe.…”

Section: Interventionmentioning

confidence: 99%

“…The mean age of onset is 43 years old, and the mean age of surgical correction is 50 years (6). Although several hallux rigidus classifications are available, including Regnauld's classification and the Drago, Orloff, and Jacobs scale, Coughlin and Shurnas created a classification of hallux rigidus that correlated radiographic and clinical parameters with a recommended surgical procedure (8)(9)(10). They concluded that grades 1 and 2 and select grade 3 cases can be treated successfully with cheilectomy and stage 4 cases with arthrodesis (10).…”

mentioning

confidence: 99%

“…An osteotome marked the level of the metatarsal head, which was resected. (10). The primary concern with performing cheilectomy versus arthrodesis is the recurrence of dorsal exostosis and progression of chondrolysis and joint deterioration, which can result in the return of joint pain and functional limitations (6).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Long-Term Follow-Up of the Cheilectomy for Degenerative Joint Disease of the First Metatarsophalangeal Joint

Nicolosi

Hehemann

Connors

et al. 2015

The Journal of Foot and Ankle Surgery

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Quantitative characterization of gait kinematics in patients with hallux rigidus using the Milwaukee foot model

Canseco

Long

Marks

et al. 2007

Journal Orthopaedic Research

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The purpose of this study was to provide a quantitative analysis of the changes that occur in the foot and ankle during the gait of patients with hallux rigidus. Using a 15-camera Vicon Motion Analysis System, gait analysis was conducted on a population of 22 patients with hallux rigidus and compared to that of 25 healthy ambulators. Weight-bearing radiographs were measured to index marker positions to underlying bony anatomy. The Milwaukee Foot Model was used to perform three-dimensional analysis of dynamic foot and ankle motion, and temporal-spatial parameters were also calculated. Values were compared to controls using unpaired parametric methods (Student t-test, p < 0.002). The hallux rigidus population showed significant alterations in gait patterns as compared to controls in various planes in all segments (hallux, forefoot, hindfoot, and tibia) of the foot and ankle, particularly in the range of motion of the hallux and the forefoot. Prolonged stance phase was also observed. As reports regarding the quantitative study of the multisegment foot and ankle are limited, this study was useful in providing characterization of gait patterns in patients with hallux rigidus. ß

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Hallux Rigidus

Cited by 477 publications

References 58 publications

Percutaneous First Metatarso-Phalangeal Joint Fusion

Percutaneous First Metatarso-Phalangeal Joint Fusion

Long-Term Follow-Up of the Cheilectomy for Degenerative Joint Disease of the First Metatarsophalangeal Joint

Quantitative characterization of gait kinematics in patients with hallux rigidus using the Milwaukee foot model

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