What Is Hallux Rigidus Surgery?
The reasons for hallux rigidus are:
Stiff
Stiffness etiology and pathogenesis
- The reasons for hallux rigidus are:
- 1. Congenital developmental abnormalities, such as the zygomatic bone shifted to the proximal end, the first metatarsal bone is too long and the first metatarsal bone is overextended to the back;
- 2. Acquired persons suffer from compressive damage to the base of the metatarsophalangeal toe, osteoarthritis of the metatarsophalangeal joint, erosion of the articular cartilage, formation of osteophytes around the palate, and pain caused by palatal stiffness
- 3 Other causes include rheumatoid arthritis and schizophrenic osteochondritis. [1]
Clinical manifestations of stiffness
- The metatarsophalangeal joint pain is aggravated during walking, local swelling, and limited movement. The back extension is the most important. In severe cases, the metatarsophagia is stiff in the plantar flexion position. Sometimes osteophytes can be reached. [1]
X Stiff X-ray examination
- X-ray films show that the metatarsophalangeal joint space is narrow and the bony hyperplasia is raised to the back, and the soft tissue around the joint is hypertrophic. [1]
Stiffness treatment
Non-surgical treatment of rigidity
- Including patients are advised to wear low-heeled hard-soled shoes and be cushioned at the arch of the foot to massage and physiotherapy the lesions. Steroid closed treatment also has a certain effect.
Stiff Surgery
- When non-surgical treatment is ineffective, surgical treatment is considered. The principle of surgical selection is: young patients with more activity, such as obvious osteophyte growth and metatarsophalangeal osteoarthritis, may not perform osteophyte resection, but there is insufficient correction or recurrence of deformity Possible. Patients with moderate osteoarthritis of the metatarsophalangeal joint are suitable for Keller arthroplasty, and the proximal phalangeal base is removed by 1/3 to 1/2. For severe metatarsophalangeal joint osteoarthritis, metatarsophalangeal joint fusion can be performed. The metatarsophalangeal joint is fixed at the dorsiflexion of 10 ° ~ 15 °, and the valgus is 15 °. Deformed purpose. [1]