Tratamiento quirúrgico det Hallux Rigidus

Abstract

Background: The purpose of this investigation is to evaluate the results of the combination of a distal first metatarsal osteotomy (Modified Green-Watermann procedure) with a proximal phalanx osteotomy (Moberg procedure) for Hallux Rigidus type and ll following Regnauld classification that underwent surgical treatment in our institution. Material and methods: During 2007, fifteen distal metatarsal periarticular decom pression osteotomy of the first ray in addition with a proximal phalanx osteotomy were performed in patients who had been diagnosed wlth hallux rigidus. Subjective evaluation was based on American Orthopaedic Foot and Ankle Surgery Hallux metatarsophalangealinterpha langeaL 100-point scaLe. A preand postoperative objective physical examination was performed. Radiographic analysls included standing A-P and lateral views. Results: This combination of procedures provided subjective patient satisfaction. There was significant improvement in dorsiflexion and total motion. All patients were satisfied with the procedure; and AOFAS Hallux Rating Score raised from 49.1 points preoperatively, to 89.2 +/-0.9 points at this 15 month short-term follow up. Average im provement for dorsiflexion was 18.3 degrees, from 14.5 deg rees preoperatively to 32.8 degrees at follow-u p. Conclusions: This therapeutic study, prospective, shows good results in our short-term follow-u p.