Hallux rigidus surgery - cheilectomy, Moberg osteotomy... - Dworska hospital® скачать в хорошем качестве

Hallux rigidus surgery - cheilectomy, Moberg osteotomy... - Dworska hospital®

📧 [email protected] 📞 +48 12 362 72 60 Hallux rigidus surgery in Poland - Grzegorz Jarosławski MD - Dworska Hospital 0:00 Dworska hospital 0:15 Hallux rigidus 3D animation 0:53 Cheilectomy - indications 1:19 Cheilectomy - recordings from the operating room 2:41 Increased ROM of the 1st MTP joint after cheilectomy 2:55 Metatarsal shortening osteotomy 3:19 Moberg osteotomy 3:34 Severe hallux rigidus - 3d animation 4:01 Arthrodesis 4:30 MTP joint endoprosthesis Hallux rigidus is characterized by pain and stiffness in the metatarsophalangeal joint of the big toe. The cause of the pain is a conflict on the dorsal side of the joint when the upper edge of the proximal phalanx hits the surface of the metatarsal head. The bone conflict results from the bone spurs (osteophytes) limiting the dorsal flexion of the big toe. The indication for hallux rigidus surgery is severe pain and limitation of joint mobility. One of the surgical treatments is cheilectomy. The procedure can be performed in patients with well-preserved cartilage of the metatarsophalangeal joint. Cheilectomy allows for restoring range of motion during walking and bending the big toe. The surgeon removes the upper one-third of the metatarsal head and the accompanying osteophytes that restrict joint mobility. In some cases, a shortening first metatarsal osteotomy may be necessary to relieve joint pressure. This can be achieved by performing a modified chevron osteotomy with upper arm excision. The osteotomy is stabilized with a Herbert screw. Another example of an additional procedure is the Moberg osteotomy, which involves performing a wedge osteotomy of the proximal phalanx. The goal of the Moberg osteotomy is to increase the available range of big toe dorsiflexion. Arthrodesis is considered the most effective treatment for advanced cases of hallux rigidus. The surgeon removes osteophytes and damaged articular surfaces. The metatarsal bone and the proximal phalanx are joined. To achieve stable bone union, it is necessary to use a compression plate stabilized with screws. After arthrodesis, you cannot move the big toe at the metatarsophalangeal joint. Another method of treating severe hallux rigidus is joint replacement with implant substituting joint function. The endoprosthesis components are movable relative to each other, which allows you to bend and straighten the big toe.