Modern approaches to the treatment of hallux rigidus
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...
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2021
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oai:doaj.org-article:a9383546c2aa4ac0826b6490433e17042021-11-30T18:15:21ZModern approaches to the treatment of hallux rigidus2220-30952618-862710.17816/clinpract65062https://doaj.org/article/a9383546c2aa4ac0826b6490433e17042021-07-01T00:00:00Zhttps://journals.eco-vector.com/clinpractice/article/viewFile/65062/pdfhttps://doaj.org/toc/2220-3095https://doaj.org/toc/2618-8627The 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.Georgii A. AirapetovAlexandr A. VorotnikovEco-vectorarticlearthrosis of the 1st metatarsophalangeal jointhallux rigidusarthroplasty of the 1st metatarsophalangeal jointarthrodesisarthroplastyMedicineRRUКлиническая практика , Vol 12, Iss 2, Pp 103-109 (2021) |
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arthrosis of the 1st metatarsophalangeal joint hallux rigidus arthroplasty of the 1st metatarsophalangeal joint arthrodesis arthroplasty Medicine R |
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arthrosis of the 1st metatarsophalangeal joint hallux rigidus arthroplasty of the 1st metatarsophalangeal joint arthrodesis arthroplasty Medicine R Georgii A. Airapetov Alexandr A. Vorotnikov Modern approaches to the treatment of hallux rigidus |
description |
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. |
format |
article |
author |
Georgii A. Airapetov Alexandr A. Vorotnikov |
author_facet |
Georgii A. Airapetov Alexandr A. Vorotnikov |
author_sort |
Georgii A. Airapetov |
title |
Modern approaches to the treatment of hallux rigidus |
title_short |
Modern approaches to the treatment of hallux rigidus |
title_full |
Modern approaches to the treatment of hallux rigidus |
title_fullStr |
Modern approaches to the treatment of hallux rigidus |
title_full_unstemmed |
Modern approaches to the treatment of hallux rigidus |
title_sort |
modern approaches to the treatment of hallux rigidus |
publisher |
Eco-vector |
publishDate |
2021 |
url |
https://doaj.org/article/a9383546c2aa4ac0826b6490433e1704 |
work_keys_str_mv |
AT georgiiaairapetov modernapproachestothetreatmentofhalluxrigidus AT alexandravorotnikov modernapproachestothetreatmentofhalluxrigidus |
_version_ |
1718406400066977792 |