Hallux Rigidus

According to presented results, both metatarsophalangeal joint arthrodesis and modified oblique Keller capsular interposition arthroplasty may yield positive 10-year outcomes for patients with advanced hallux rigidus.

The Orthopaedic and Rehabilitation Devices Panel of the FDA Medical Devices Advisory Committee, which met virtually today, recommended against moving cemented semi-constrained toe joint prostheses to class 2.

A 53-year-old woman with rheumatoid arthritis on oral prednisone presented to a podiatric surgeon after a lifelong history of hallux valgus and lesser toe deformities. After failure of conservative management options, she opted for surgical management with first metatarsophalangeal joint arthroplasty with a double-stem silastic implant. Hammertoe deformities of her second through fifth digits were treated with lesser metatarsal head resections with transarticular pin fixation. The patient’s postoperative period was unremarkable, but after about 2 months, she noticed recurrence of the deformity of the lesser toes. She also developed a painful plantar prominence at the hallux metatarsophalangeal with return of the valgus deformity. After 4 years of persistent pain, she was referred to orthopedic surgery for further evaluation.

CHICAGO — Cheilectomy may be a reliable procedure for treatment of hallux rigidus, with low revision and pain recurrence rates among patients, according to results presented at the American Orthopaedic Foot & Ankle Society Annual Meeting.