Modern approaches to the treatment of hallux rigidus

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Abstract

The number of patients with degenerative joint pathology is steadily increasing. Arthrosis of the 1st metatarsophalangeal joint (hallux rigidus) is no exception, it occurs in 20-35 % of young and working people who lead a mobile lifestyle and is manifested by a symptom complex, including pain and a significant restriction of the function of the entire lower limb. The leading cause of the pathology development is degenerative-dystrophic changes in the joint, leading to pain syndrome and restriction of movement. Today, there are a large number of treatment options, both conservative and surgical. The choice of a specific surgical intervention from the entire variety of options is a difficult task, it is strictly individual and requires consideration of various clinical manifestations of the disease and a number of other factors. So, if 10 years ago arthrodesis was considered a “gold standard” for the HR treatment, today most authors recommend organ-sparing treatment, in particular, shortening osteotomies of the metatarsal bone with a possible use of scaffolds for the regeneration of articular cartilage. The article analyzes the main results of the HR surgical treatment presented in the publications of national and foreign specialists. In some cases, our own recommendations on the choice of the method are suggested.

About the authors

Georgii A. Airapetov

Stavropol State Medical University

Author for correspondence.
Email: AirapetovGA@yandex.ru
ORCID iD: 0000-0001-7507-7772

Cand. Sci (Med.), Associate Professor

Russian Federation, 310, Mira street, Stavropol, 355017

Alexandr A. Vorotnikov

Stavropol State Medical University

Email: Vorotnikovaa@mail.ru
SPIN-code: 4291-8443

Dr. Sci. (Med.), Professor

Russian Federation, 310, Mira street, Stavropol, 355017

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