Osteochondral Defects in Hallux Rigidus: Does their Presence and Treatment Affect Outcomes Following Dorsal Cheilectomy?

Foot & Ankle Orthopaedics

DavidCiufo¹ 

关键词: Hallux rigidus cheilectomy arthritis osteochondral defect OCD;   

DOI  :  10.1177/2473011418S00194

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Midfoot/ForefootIntroduction/Purpose:Hallux rigidus, or 1st metatarsophalangeal (MTP) joint degeneration, is commonly encountered in foot and ankle practice. Operative management can include a dorsal cheilectomy, a motion sparing procedure to reduce impingement. Hallux rigidus affects patients across all age groups, and etiologies may include trauma, first ray hypermobility, pes planus, or hallux valgus. First MTP joint trauma may result in an osteochondral defect (OCD). Literature is sparse regarding OCD management in the 1st MTPJ, as is follow-up data on cheilectomy using validated outcome measures. We hypothesize that the presence of an OCD is associated with symptomatic hallux rigidus at a lower Coughlin and Shurnas grade. We also hypothesize that OCD treatment concurrent with cheilectomy leads to outcomes equivalent to patients treated with isolated hallux rigidus.Methods:A retrospective review of prospectively collected data was performed. All patients of a single surgeon were reviewed base...

【 授权许可】

CC BY