Results of grade II halux rigidus treated with queilectomy associated to an wedge resection osteotomy of the proximal phalanx base

Abstract

To describe the results of a retrospective case series of patients with grade II hallux rigidus treated using keilectomy and a dorsal wedge basal proximal phalanx osteotomy of the hallux, evaluated using AOFAS scale and patient satisfaction. Methods: We included 20 patients who underwent the procedure between January 2012 and January 2014, with a minimum follow up of one year. The result evaluation included the joint mobility, ans AOFAS scale application. Results: The joint mobility in dorsiflexion in post operative evaluation was 41.3 degrees and in the post operative evaluation of 78.9 degrees. The AOFAS score rised from 47.6 points on average in pre operative evaluation to 82.07 after the surgery. Conclusion: The results of surgical treatment of moderate hallux rigidus using the dorsal exostectomy and dorsal wedge resection of the proximal phalanx base of the first toe is reproducible and good results are predictable.