Minimally Invasive Cheilectomy for Hallux Rigidus.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure Dr R. Cerrato: Consultant and Royalties with Stryker, Consultant Vilex, Paid speaker Acumed, Board member MIFAS. Dr A. Fletcher and V. Dr Patel have no disclosures. 12. Foot Ankle Clin. 2014 Dec;19(4):669-99. doi: 10.1016/j.fcl.2014.08.006. Epub 2014 Sep 27. Functional hallux rigidus and the Achilles-calcaneus-plantar system. Maceira E(1), Monteagudo M(2). Author information: (1)Foot and Ankle Unit, Department of Orthopaedic Surgery, Hospital Universitario Quirón Madrid, Calle Diego de Velázquez 1, Pozuelo de Alarcón, Madrid 28223, Spain. Electronic address: e.maceira@telefonica.net. (2)Foot and Ankle Unit, Department of Orthopaedic Surgery, Hospital Universitario Quirón Madrid, Calle Diego de Velázquez 1, Pozuelo de Alarcón, Madrid 28223, Spain. Functional hallux rigidus is a clinical condition in which the mobility of the first metatarsophalangeal joint is normal under non-weight-bearing conditions, but its dorsiflexion is blocked when first metatarsal is made to support weight. In mechanical terms, functional hallux rigidus implies a pattern of interfacial contact through rolling, whereas in a normal joint contact by gliding is established. Patients with functional hallux rigidus should only be operated on if the pain or disability makes it necessary. Gastrocnemius release is a beneficial procedure in most patients. Copyright © 2014 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2014.08.006