Moberg Osteotomy for Hallux Rigidus

Warganich, Tibor; Harris, Thomas J.

doi:10.1016/j.fcl.2015.04.006

Cited by 11 publications

(6 citation statements)

References 29 publications

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“…A dorsiflexão pós-operatória da articulação metatarsofalangiana, realizada com a osteotomia percutânea do primeiro metatarso apresentou aumento significativo, semelhante aos resultados relatados com a técnica aberta (20) . Em relação à flexão plantar dimunuída após o procedimento, deve-se à reorientação articular proporcionada pela osteotomia de Watermann, que altera o arco de movimento devido à ascensão da cabeça do primeiro metatarso.…”

Section: Discussionunclassified

“…A seguir, no mesmo portal criado no aspecto distal e medial do primeiro metatarso, foi realizada uma osteotomia distal com base dorsal, chamada de Watermann (14,20) , no intuito de descomprimir a articulação metatarsofalangiana e elevar a cabeça do primeiro metatarsiano (15) . O último passo do procedimento foi a osteotomia de base dorsal da falange proximal do hálux, tipo Moberg (3,14,21) , realizada através de um portal medial de 1 cm (Figura 2).…”

Section: Técnica Cirúrgicaunclassified

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Percutaneous cheilectomy combined with Watermann and Moberg osteotomies for the treatment of hallux rigidus

Arruda

Baptista

2019

Sci J Foot Ankle

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Objective: To evaluate the clinical and functional outcomes of patients subjected to surgical treatment of hallux rigidus by the percutaneous cheilectomy combined with Watermann and Moberg osteotomies. Methods: Between May 2017 and August 2018, the clinical outcomes of 7 patients with a diagnosis of hallux rigidus (HR) treated using the percutaneous technique were assessed using the American Orthopedic Foot and Ankle Society (AOFAS) scale, the visual analogue scale (VAS) for pain and hallux metatarsophalangeal joint range of motion measurements during the pre- and postoperative periods. Clinical and functional outcomes were followed up for a minimum of 6 months (mean of 8 months). Results: The range of motion of the metatarsophalangeal joint during the pre- and postoperative periods showed the following results: dorsiflexion increased on average from 28.00º (± 15.63) to 44.43º (± 17.33) (p = 0.006), demonstrating an effective gain in dorsal articular movement. Plantar flexion ranged on average from 27.43º (± 2.22) to 24.43º (± 5.28) (p = 0.228), with no significant difference between the evaluated periods. The AOFAS score increased on average from 52.71 (± 9.63) to 88.00 (± 8.10) (p < 0.01), representing important functional improvement. The VAS score decreased on average from 7.00 (± 1.52) to 2.14 (± 2.19) (p = 0.002), indicating a significant improvement in patient pain. No patient presented postoperative complications. Conclusion: The results of the present study demonstrated that cheilectomy combined with percutaneous Watermann and Moberg osteotomies is an effective surgical treatment for hallux rigidus, with satisfactory clinical and functional outcomes. Level of Evidence IV; Therapeutic Studies; Case Series.

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Section: Discussionunclassified

Section: Técnica Cirúrgicaunclassified

Percutaneous cheilectomy combined with Watermann and Moberg osteotomies for the treatment of hallux rigidus

Arruda

Baptista

2019

Sci J Foot Ankle

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“…3,4 Joint preservation procedures have shown good-to-excellent clinical outcomes, including cheilectomy, [5][6][7][8][9] interpositional arthroplasty, [10][11][12] distal metatarsal osteotomies, [13][14][15][16][17][18][19] and phalangeal osteotomies. 20,21 Fixation procedures continues to be the main indication for high-grade hallux rigidus. 8,22,23 Recently, percutaneous procedures (arthrodesis) showed good-to-excellent outcomes.…”

Section: Historical Perspectivementioning

confidence: 99%

“…Surgical treatments can be divided into joint-sparing and joint-sacrificing procedures 3,4 . Joint preservation procedures have shown good-to-excellent clinical outcomes, including cheilectomy, 5–9 interpositional arthroplasty, 10–12 distal metatarsal osteotomies, 13–19 and phalangeal osteotomies 20,21 . Fixation procedures continues to be the main indication for high-grade hallux rigidus 8,22,23 .…”

Section: Historical Perspectivementioning

confidence: 99%

Cheilectomy and the Shortening PelCO for the Treatment of Low-grade Hallux Rigidus

Del Vecchio,

Dealbera,

Ferraz Ferreira

et al. 2024

Techniques in Foot &Amp; Ankle Surgery

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Hallux rigidus is a degenerative condition of the first metatarsophalangeal joint resulting in stiffness and pain. Surgical treatments can be divided into joint-sparing and joint-sacrificing procedures. Cheilectomy has been recommended as an isolated procedure for the treatment of low-grade hallux rigidus (I and II, even III in some articles). First metatarsal shortening osteotomies are indicated in low-grade hallux rigidus. The Shortening Percutaneous, Intra-articular, Chevron Osteotomy resembles the Green-Watermann procedures regarding shortening and decompression. Shortening Percutaneous, Intra-articular, Chevron Osteotomy provides excellent clinical and functional results and represents a viable treatment option to decrease pain, improve function, and maintain motion for hallux rigidus grade I and II. Level of Evidence: Diagnostic level IV.

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“…It is a good option for young patients with mild to moderate HR, and it has low rates of complications and revision, with high patient satisfaction. 28…”

Section: Proximal Phalanx Osteotomymentioning

confidence: 99%

Hallux rigidus: Conceptos actuales

Ferrada

Villanueva

Hernández³

2022

Revista Chilena de Ortopedia y Traumatología

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ResumenEl hallux rigidus es una causa frecuente de consulta traumatológica, y es la artrosis más frecuente del pie. Se presenta clínicamente con dolor y pérdida de movimiento de la primera articulación metatarsofalángica, con impacto en la calidad de vida del paciente. El tratamiento comienza de forma conservadora, y tiene éxito en la mitad de los casos, con medidas, que incluyen modificación del calzado, manejo del peso y ortesis, diseñadas para limitar el movimiento de esta articulación. El tratamiento quirúrgico en pacientes con hallux rigidus leve a moderado se centra en eliminar los osteofitos dorsales con una queilectomía, que se puede asociar a una osteotomía de falange proximal o del primer metatarsiano, lo que mejora el rango de movimiento hacia un arco menos doloroso. En el hallux rigidus de alto grado, lo más aconsejado es la artrodesis, la cual proporciona alivio del dolor al costo de alterar la biomecánica de la marcha, dada la rigidez adquirida. Distintas artroplastias (resección, interposición, o protésicas) mejoran el dolor significativamente sin sacrificar movilidad, siendo una alternativa más fisiológica, que preserva la biomecánica del pie en pacientes seleccionados.

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Moberg Osteotomy for Hallux Rigidus

Cited by 11 publications

References 29 publications

Percutaneous cheilectomy combined with Watermann and Moberg osteotomies for the treatment of hallux rigidus

Percutaneous cheilectomy combined with Watermann and Moberg osteotomies for the treatment of hallux rigidus

Cheilectomy and the Shortening PelCO for the Treatment of Low-grade Hallux Rigidus

Hallux rigidus: Conceptos actuales

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