Functional hallux rigidus and the Achilles-calcaneus-plantar system.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 13. Foot Ankle Clin. 2024 Sep;29(3):425-442. doi: 10.1016/j.fcl.2024.02.007. Epub 2024 Mar 23. Moberg and Moberg-Akin ('Mo-Akin') Osteotomies for Hallux Rigidus. Issa M(1), O'Neill C(1), Schweitzer K(2). Author information: (1)Department of Orthopaedic Surgery, Duke University Medical Center, 311 Trent Drive, Durham, NC 27710, USA. (2)Department of Orthopaedic Surgery, Duke University Medical Center, 311 Trent Drive, Durham, NC 27710, USA; Foot and Ankle, 3480 Wake Forest Road, Suite 204, Raleigh, NC 27609, USA. Electronic address: karl.schweitzer@duke.edu. Hallux rigidus represents the arthritis affecting the first metatarsophalangeal joint. It often leads to limited dorsiflexion, affecting gait and causing pain. Moberg osteotomy involves a dorsal closing wedge osteotomy on the proximal phalanx performed for early stages of hallux rigidus. This osteotomy shifts the load to the plantar aspect and compensates for the limited dorsiflexion. Moberg osteotomy can be combined with Akin osteotomy to create a biplanar correction for hallux interphalangeus. The procedure has favorable outcomes and high patient satisfaction rates with low complications. Larger high-quality studies are required to draw further on its benefits. Copyright © 2024 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2024.02.007