Hallux Rigidus: Anatomy and Pathology.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure The authors have no pertinent financial or funding disclosures related to the content of this article. 2. Foot Ankle Clin. 2022 Jun;27(2):253-269. doi: 10.1016/j.fcl.2021.11.016. Epub 2022 May 11. Complications of Hallux Rigidus Surgery. Grimm MPD(1), Irwin TA(2). Author information: (1)Dwight D. Eisenhower Army Medical Center, 300 West Hospital Road, Fort Gordon, GA 30905, USA. (2)OrthoCarolina Foot and Ankle Institute, Atrium Health Musculoskeletal Institute, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA. Electronic address: Todd.irwin@orthocarolina.com. Hallux rigidus can be treated with a variety of surgical procedures, including joint preserving techniques, arthrodesis, and arthroplasty. The most commonly reported complications for joint preserving techniques consist of progression of arthritis, continued pain, and transfer metatarsalgia. Although good outcomes have been reported for arthrodesis overall, careful attention must be paid to technique and positioning of the toe to avoid nonunion or malunion. Arthroplasty preserves motion but in the case of failure can present the additional challenge of bone loss. In these scenarios, the authors recommend distraction bone block arthrodesis with structural autograft. Copyright © 2021 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2021.11.016