Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 4 Issue 3

Hallux Rigidus Treatment: Weil´s Osteotomy

Diego Yearson1,2, Ignacio Melendez1,2*, Juan Drago1,2, Federico Anain1 and Santiago SiniscalchiDiego Yearson1,2, Ignacio Melendez1,2*, Juan Drago1,2, Federico Anain1 and Santiago Siniscalchi1

1Sanatorio de la Trinidad Ramos Mejía, Buenos Aires, Argentina
2Sanatorio de la Trinidad Palermo, Buenos Aires, Argentina

*Corresponding Author: Ignacio Melendez, Sanatorio de la Trinidad Ramos Mejía, Buenos Aires, Argentina.

Received: December 28, 2020; Published: February 08, 2021

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Abstract

Introduction: Hallux rigidus pathology affects the first metatarsophalangeal joint causing pain, limited range of motion (ROM) and alter gait pattern in late stages.

Objective: This study shows our experience with Weil´s osteotomy in hallux rigidus type 1 and 2.

Methods: Retrospective study level IV, 30 patients with hallux rigidus types 1 and 2 were operated on from 2010 to 2016.

Results: 29 of 30 patients returned to daily activities after hallux rigidus surgical treatment, there were no complications relative to surgical procedure such nonunion, plantar keratosis, central metatarsal stress fractures.

Discussion: Hallux rigidus treatment is controversial, there are many surgical techniques for hallux rigidus treatment, distal osteotomies, proximal osteotomies, but Weil´s osteotomy allows range of motion in early stages, very low risk of osteonecrosis, stable osteotomy, shortening and descending first metatarsal head.

Conclusion: Due to results we obtained in this study, we believe Weil´s osteotomy is the best surgical technique for treating hallux rigidus types 1 and 2.

Keywords: Hallux Rigidus; ROM; First Metatarsophalangeal Joint

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References

  1. MJ Shereff., et al. “Kinematics of the first metatarsophalangeal joint”. Journal of Bone and Joint Surgery 68-A (1986): 392-398.
  2. Masson M., et al. “Biomecánica, medicina y cirugía del pie”. (1997).
  3. Coughlin MJ., et al. “Hallux rígidus. En: Surgery of the Foot and Ankle”. Philadelphia: Mosby-Elsevier (2007): 867-921.
  4. H Nilsonne. “Hallux rígidus and its treatment”. Acta Orthopaedica Scandinavica 1 (1930): 295-303.
  5. JO Meyer., et al. “Metatarsus primus elevatus and the etiology of hallux rigidus”. Journal of Foot Surgery 26 (1987): 237-241.
  6. FM Harton., et al. “Secctioning the plantar fascia. Effect on first metatarsophalangeal joint motion”. Journal of the American Podiatric Medical Association 92 (2002): 532-536.
  7. G Yee and J Lau. “Current concepts review: Hallux rigidus”. Foot and Ankle Orthopaedics 29 (2008): 637-646.
  8. Hattrup SJ and Johnson KA. “Subjective results of hallux rigidus following treatment with cheilectomy”. Clinical Orthopaedics 226 (1988): 182-191.
  9. J Drago., et al. “A comprehensive review of hallux limitus”. Foot Surgery 23 (1984): 213–220.
  10. H Watermann. “Die arthritis deformans grosszehergruss dgelen-kes”. Zeitschr Orthop Chir 48 (1927): 346–350.
  11. FD Youngswick. “Modifications of the Austin bunionectomy for treatment of metatarsus primus elevatus associated hallux rigidus”. Journal of Foot Surgery 21 (1982): 114–116.
  12. LS Barouk. “Techniques of osteotomies of the forefoot”. (1994): 20–22.
  13. Dillard S., et al. “Intra- and Interobserver Reliability of Three Classification Systems for Hallux Rigidus”. Journal of the American Podiatric Medical Association 110 (2020).
  14. Wieske Beertema., et al. “A Retrospective Analysis of Surgical Treatment in Patients With Symptomatic Hallux Rigidus: Long-Term Follow-Up”. Journal of Foot and Ankle Surgery 4 (2006): 244-251.
  15. Michael J Coughlin., et al. “Hallux Rigidus: Demographics, Etiology, and Radiographic Assessment”. Foot Ankle International 24 (2003): 731.
  16. Antonio Viladot., et al. “Youngswick–Austin versus Distal Oblique Osteotomy for the Treatment of Hallux Rigidus”. Foot (Edinb) 32 (2017): 53-58.
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Citation

Citation: Ignacio Melendez., et al. “Hallux Rigidus Treatment: Weil´s Osteotomy".Acta Scientific Orthopaedics 4.3 (2021): 04-08.




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Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor0.614

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