Hallux Rigidus: 1st MTPJ OA

Question 1

What is Hallux Rigidis?

Answer 1

OA of the 1st MTPJ

Question 2

Primary cause of hallux rigidis?

Answer 2

Degenerative

Question 3

Secondary cause of hallux rigidis?

Answer 3

Osteochondral injury

Question 4

Conservative treatment of hallux rigidis?

Answer 4

• Wearing stiff soled shoe to limit motion at the MTPJ

- Metal bar can be inserted into sole of shoe

Question 5

Treatment of hallux rigidis?

Answer 5

-Successful fusion should alleviate pain. Prevents woman wearing heals

• 1st MTPJ replacements:
• Ceramic total joint replacements
• Metal hemi-arthroplasties
• Failure rates are quite high
• Once failure occurs: salvage surgery difficult