What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca.

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Presentation transcript:

What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca Vannini J Bone Joint Surg Am Volume 86(suppl 2):72-83 December 1, 2004 ©2004 by The Journal of Bone and Joint Surgery, Inc.

During the propulsive phase of gait, the hallux is unable to dorsiflex adequately. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Radiographic classification of hallux rigidus. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Plantar release for grade-0 hallux rigidus. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Sliding osteotomy for grade-1 hallux rigidus. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Modified chevron osteotomy for grade-1 hallux rigidus. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Cheilectomy for grade-2 hallux rigidus. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Arthrodesis for grade-3 hallux rigidus. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Arthrodesis. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Arthroplasty with use of a poly(DL-lactic acid) spacer. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Scores on the American Orthopaedic Foot and Ankle Society scale obtained preoperatively and at the time of follow-up. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

The mean range of motion of the first metatarsophalangeal joint, measured preoperatively and at the time of follow-up, in patients who did not undergo arthrodesis of the first metatarsophalangeal joint. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Figs. 12-A and 12-B The foot of a twenty-eight-year-old man with grade-0 hallux rigidus. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

An excellent radiographic (B) and clinical (B) result was maintained at four years after a plantar release. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

The foot of a forty-five-year-old woman with grade-1 posttraumatic hallux rigidus associated with a valgus deformity (A). Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.

A fifty-two-year-old woman with grade-3 hallux rigidus following a failed Keller procedure. Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83 ©2004 by The Journal of Bone and Joint Surgery, Inc.