Hallux rigidus: Cheilectomy, osteotomy, arthroplasty, and arthrodesis

Abstract

Hallux rigidus is a common pathology of the middle aged and is predominantly seen in women. Typically the main presenting symptom on history is often pain at terminal heel rise just prior to toe-off. The Coughlin and Shurnas classification is most commonly used to classify hallux rigidus. Nonoperative treatment should be attempted before any operative intervention. Cheilectomy is a good choice for early stages of hallux rigidus. Arthrodesis of the first MTP joint is the procedure of choice for advance arthritis cases. Phalangeal osteotomy with or without metatarsal osteotomy, interpositional arthroplasty, hemiarthroplasty, and joint replacement can be done in selected cases.