J. D. Del Vecchio, E. Dealbera, Gabriel Ferraz Ferreira, M. Dalmau-Pastor
{"title":"Cheilectomy and the Shortening PelCO for the Treatment of Low-grade Hallux Rigidus","authors":"J. D. Del Vecchio, E. Dealbera, Gabriel Ferraz Ferreira, M. Dalmau-Pastor","doi":"10.1097/btf.0000000000000417","DOIUrl":null,"url":null,"abstract":"Hallux rigidus is a degenerative condition of the first metatarsophalangeal joint resulting in stiffness and pain. Surgical treatments can be divided into joint-sparing and joint-sacrificing procedures. Cheilectomy has been recommended as an isolated procedure for the treatment of low-grade hallux rigidus (I and II, even III in some articles). First metatarsal shortening osteotomies are indicated in low-grade hallux rigidus. The Shortening Percutaneous, Intra-articular, Chevron Osteotomy resembles the Green-Watermann procedures regarding shortening and decompression. Shortening Percutaneous, Intra-articular, Chevron Osteotomy provides excellent clinical and functional results and represents a viable treatment option to decrease pain, improve function, and maintain motion for hallux rigidus grade I and II.\n Level of Evidence: Diagnostic level IV.","PeriodicalId":507475,"journal":{"name":"Techniques in Foot & Ankle Surgery","volume":"760 ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Foot & Ankle Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/btf.0000000000000417","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Hallux rigidus is a degenerative condition of the first metatarsophalangeal joint resulting in stiffness and pain. Surgical treatments can be divided into joint-sparing and joint-sacrificing procedures. Cheilectomy has been recommended as an isolated procedure for the treatment of low-grade hallux rigidus (I and II, even III in some articles). First metatarsal shortening osteotomies are indicated in low-grade hallux rigidus. The Shortening Percutaneous, Intra-articular, Chevron Osteotomy resembles the Green-Watermann procedures regarding shortening and decompression. Shortening Percutaneous, Intra-articular, Chevron Osteotomy provides excellent clinical and functional results and represents a viable treatment option to decrease pain, improve function, and maintain motion for hallux rigidus grade I and II.
Level of Evidence: Diagnostic level IV.
拇指外翻是第一跖趾关节的一种退行性病变，会导致关节僵硬和疼痛。手术治疗可分为保留关节和牺牲关节的手术。腓肠肌切除术已被推荐为治疗低度僵直症（Ⅰ度和Ⅱ度，有些文章甚至推荐Ⅲ度）的单独手术。第一跖骨缩短截骨术适用于低度Hallux僵直症。经皮、关节内、Chevron缩短截骨术在缩短和减压方面与Green-Watermann手术相似。缩短经皮、关节内、雪佛龙截骨术可提供极佳的临床和功能效果，是一种可行的治疗方案，可减轻 I 级和 II 级硬下疳患者的疼痛、改善其功能并保持其活动度。证据等级：诊断级别 IV。
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