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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 AmVolume 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.