Polzer H, Polzer S, Brumann M, Mutschler W, Regauer M. Hallux rigidus: Joint preserving alternatives to arthrodesis - a review of the literature. World J Orthop 2014; 5(1): 6-13 [PMID: 24649409 DOI: 10.5312/wjo.v5.i1.6]
Corresponding Author of This Article
Hans Polzer, MD, Munich University Hospital, Ludwig-Maximilians-University, Foot and Ankle Surgery, Department of Trauma Surgery-Campus Innenstadt, Nussbaumstrasse 20, 80336 Munich, Germany. hans.polzer@med.uni-muenchen.de
Research Domain of This Article
Orthopedics
Article-Type of This Article
Review
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World J Orthop. Jan 18, 2014; 5(1): 6-13 Published online Jan 18, 2014. doi: 10.5312/wjo.v5.i1.6
Hallux rigidus: Joint preserving alternatives to arthrodesis - a review of the literature
Hans Polzer, Sigmund Polzer, Mareen Brumann, Wolf Mutschler, Markus Regauer
Hans Polzer, Mareen Brumann, Wolf Mutschler, Markus Regauer, Munich University Hospital, Foot and Ankle Surgery, Department of Trauma Surgery-Campus Innenstadt, 80336 Munich, Germany
Sigmund Polzer, Department of Hand, Ellbow and Footsurgery, ATOS Clinic Heidelberg, 69115 Heidelberg, Germany
Author contributions: Polzer H and Polzer S concepted designed and drafted the manuscript; Brumann M and Regauer M acquired and analysed the literature and finalized the manuscript; Mutschler W gave substantial input concerning the conception and design and critically revised the manuscript; all authors gave final approval of the article to be published.
Correspondence to: Hans Polzer, MD, Munich University Hospital, Ludwig-Maximilians-University, Foot and Ankle Surgery, Department of Trauma Surgery-Campus Innenstadt, Nussbaumstrasse 20, 80336 Munich, Germany. hans.polzer@med.uni-muenchen.de
Telephone: +49-89-51602511 Fax: +49-89-51602662
Received: October 2, 2013 Revised: November 3, 2013 Accepted: November 15, 2013 Published online: January 18, 2014
Core Tip
Core tip: If nonoperative treatment fails to relieve the symptoms of hallux rigidus surgery is indicated. The procedure with the most evidence for success is the arthrodesis of the first metatarsophalangeal joint. Nevertheless, many patients prefer treatment options which preserve the joint motion. The evidence for different arthroplastic procedures is of low quality. Furthermore, in case the procedure fails to relieve the symptoms to perform an arthrodesis after resection of the joint is much more difficult and may require bone graft. Consequently, joint and motion preserving osteotomies are of great interest for treatment of hallux rigidus. We here provide a review of the different joint and motion preserving alternatives for treating hallux rigidus and the studies available investigating these procedures.
