Biokinetic Evaluation of Hallux Valgus during Gait: A Systematic Review.

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Abstract

[Indexed for MEDLINE] 16. Foot Ankle Clin. 2022 Dec;27(4):723-744. doi: 10.1016/j.fcl.2022.07.001. First Metatarsophalangeal Arthrodesis for the Failed Hallux. Attia AK(1), Heier KA(2). Author information: (1)Orthopedic Surgery and Rehabilitation Department, Penn State Milton S. Hershey Medical Center, Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA. Electronic address: Attia.footMD@gmail.com. (2)Orthotexas, Dallas, TX, USA. Hallux metatarsophalangeal joint (MTPJ) arthrodesis was first described in 1894 by Clutton, who recommended ankylosing the MTPJ to treat painful hallux valgus (HV). He used ivory pegs to stabilize the MTP joint. Surgeons over the last century have modified the procedure and added indications, including hallux rigidus, rheumatoid arthritis, and revision of failed surgeries. This article addresses many common yet challenging clinical scenarios, and a few hot topics, related to hallux MTPJ arthrodesis, including matarsus primus elevatus, severe hallux valgus, avascular necrosis, and infections. The article provides a condensed evidence-based discussion on how to manage these challenges using MTPJ arthrodesis. Copyright © 2022 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2022.07.001