The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons · 1998
Dorsal wedge osteotomy in the treatment of hallux rigidus.
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Blyth M J, Mackay D C, Kinninmonth A W
Аннотация
The results of 18 dorsal wedge osteotomies in the treatment of hallux rigidus are presented. Patients were retrospectively interviewed and examined, and an assessment was made in a number of key functional areas. Good or excellent results were obtained in 14 or 18 cases at a mean follow-up time of 4 years with only one patient requiring further surgery. Pain (p = 0.00014), activity levels (p = 0.0019), footwear difficulties (p = 0.0016), and joint range of motion (p = 0.0001) were all significantly improved; tiptoeing was the only activity assessed (p = 0.23) for which the improvement was not significant. These results compare well with other published series. We recommend dorsal wedge osteotomy as a useful alternative in the treatment of hallux rigidus.