what's new in surgical options for hallux rigidus? by sandro giannini, francesco ceccarelli,...
TRANSCRIPT
![Page 1: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/1.jpg)
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.
![Page 2: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/2.jpg)
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.
![Page 3: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/3.jpg)
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.
![Page 4: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/4.jpg)
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.
![Page 5: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/5.jpg)
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.
![Page 6: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/6.jpg)
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.
![Page 7: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/7.jpg)
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.
![Page 8: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/8.jpg)
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.
![Page 9: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/9.jpg)
Arthrodesis.
Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/10.jpg)
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.
![Page 11: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/11.jpg)
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.
![Page 12: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/12.jpg)
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.
![Page 13: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/13.jpg)
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.
![Page 14: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/14.jpg)
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.
![Page 15: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/15.jpg)
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.
![Page 16: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/16.jpg)
Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 17: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/17.jpg)
Sandro Giannini et al. J Bone Joint Surg Am 2004;86:72-83
©2004 by The Journal of Bone and Joint Surgery, Inc.
![Page 18: What's New in Surgical Options for Hallux Rigidus? by Sandro Giannini, Francesco Ceccarelli, Cesare Faldini, Roberto Bevoni, Gianluca Grandi, and Francesca](https://reader036.vdocuments.mx/reader036/viewer/2022062517/56649f2f5503460f94c49977/html5/thumbnails/18.jpg)
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.