Department of Orthopaedic Surgery, Emory University School of Medicine, 59 Executive Park South, Suite 2000, Atlanta, GA 30329, USA.
Department of Orthopaedic Surgery, Emory University School of Medicine, 59 Executive Park South, Suite 2000, Atlanta, GA 30329, USA.
Orthop Clin North Am. 2021 Jul;52(3):291-296. doi: 10.1016/j.ocl.2021.03.003. Epub 2021 May 6.
Hallux rigidus is the most common arthritic pathology of the foot. This review article discusses the pathophysiology and common clinical presentation of hallux rigidus. Furthermore, we discuss multiple classification systems that categorize the arthritic process and guide management. Surgical interventions include cheilectomy, Moberg osteotomy, synthetic cartilage implants, interpositional arthroplasty, and arthrodesis. The common complications are reviewed, and the rates of these complications highlighted. Surgical options for hallux rigidus globally have successful outcomes with low rates of complications when done on appropriate patients.
拇僵硬是足部最常见的关节炎病理。本文综述了拇僵硬的病理生理学和常见临床表现。此外,我们还讨论了多种分类系统,这些系统对关节炎过程进行分类并指导治疗。手术干预包括跖骨头切除术、Moberg 截骨术、合成软骨植入物、间置关节成形术和关节融合术。本文还讨论了常见的并发症,并强调了这些并发症的发生率。对于合适的患者,全球范围内治疗拇僵硬的手术方法具有较好的效果,且并发症发生率较低。