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Updates in Hallux Rigidus, An issue of Foot and Ankle Clinics of North America
- 1st Edition, Volume 29-3 - July 30, 2024
- Editor: James A. Nunley
- Language: English
- Hardback ISBN:9 7 8 - 0 - 4 4 3 - 1 3 1 1 9 - 6
- eBook ISBN:9 7 8 - 0 - 4 4 3 - 1 3 1 2 0 - 2
In this issue of Foot and Ankle Clinics, guest editor Dr. James A. Nunley brings his considerable expertise to the topic of Updates in Hallux Rigidus. Top experts in the field pro… Read more
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Request a sales quoteIn this issue of Foot and Ankle Clinics, guest editor Dr. James A. Nunley brings his considerable expertise to the topic of Updates in Hallux Rigidus. Top experts in the field provide updates on recent advancements in the field, including articles on basic anatomy and pathology, classification, and surgical procedures.
- Contains 15 relevant, practice-oriented topics including capsular interposition arthroplasty; cartiva; great toe implants; arthroscopy of the great toe MTP joint; arthrodesis for hallux rigidus; and more.
- Provides in-depth clinical reviews on hallux rigidus, offering actionable insights for clinical practice.
- Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Foot and Ankle Surgeons; Orthopedics
- Cover image
- Title page
- Table of Contents
- Copyright
- Editorial Advisory Board
- Contributors
- Forthcoming Issues
- Preface
- Hallux Rigidus: Anatomy and Pathology
- Key points
- Introduction
- Anatomy
- Biomechanics
- Hallux rigidus
- Summary
- Clinics care points
- Classification and Radiology
- Key points
- Background
- Discussion
- Summary
- Clinics care points
- Hallux Rigidus: Update on Conservative Management
- Key points
- Introduction
- Nomenclature
- Prevalence
- Literature update/limitations
- Etiology
- Classification
- Effectiveness of conservative management
- Injection therapy
- Physical therapy
- Shoe modification and orthotics
- Summary
- Clinics care points
- Dorsal Cheilectomy
- Key points
- Introduction
- Preoperative assessment
- Surgical technique
- Postoperative management
- Complications
- Results
- Closing
- Clinics care points
- Moberg and Moberg-Akin (‘Mo-Akin’) Osteotomies for Hallux Rigidus
- Key points
- Introduction/background
- Indications
- Contraindications
- Moberg/Moberg-Akin (‘Mo-Akin’) surgical technique
- Complications
- Clinical outcomes
- Clinics care points
- Interpositional Arthroplasty for Hallux Rigidus: Surgical Technique and Outcomes Discussion
- Key points
- Introduction
- Literature review of interpositional arthroplasty
- Summary
- Clinics care points
- Supplementary data
- Managing Hallux Rigidus in the Elite Athlete
- Key points
- Introduction
- Clinical grading
- Clinical presentation
- Imaging
- Considerations for treatment
- Surgical management strategies
- Summary
- Clinics care points
- Minimally Invasive Cheilectomy for Hallux Rigidus
- Key points
- Introduction/history/definitions/background
- Discussion
- Summary
- Clinics care points
- Cartiva: A Review of the Best Evidence
- Key points
- Summary of outcomes
- Causes of failure
- Patient selection, technique pearls, and adjunct procedures
- Should it be used instead of fusion?
- Clinics care points
- Metatarsophalangeal Arthroplasty in Hallux Rigidus
- Key points
- Introduction
- Anatomy
- Surgical management
- Complications of first metatarsophalangeal joint arthroplasty
- Summary
- Clinics care points
- Supplementary data
- Arthrodesis for Hallux Rigidus
- Key points
- Introduction
- Patient selection
- Approach
- Preparation
- Outcomes
- Biomechanics after first metatarsophalangeal arthrodesis
- Complication after first metatarsophalangeal arthrodesis
- Summary
- Clinics care points
- Supplementary data
- The Philosophy of Surgical Success and Outcomes of Cartiva Versus Fusion
- Key points
- What is a noninferiority trial?
- The FDA pivotal trial for Cartiva: the MOTION study
- Motion trial methods
- Results of the MOTION trial
- Post-market experience with Cartiva
- Surgical philosophy and the Cartiva implant
- Clinics care points
- Effect of Prior Cheilectomy on Outcomes of First Metatarsophalangeal Joint Fusion
- Key points
- Introduction
- Nature of the problem
- Cheilectomy
- Cheilectomy with Moberg osteotomy
- First metatarsophalangeal joint arthrodesis
- Theoretical issues of performing cheilectomy before fusion
- Baseline deficits after failed primary cheilectomy
- Improvement after metatarsophalangeal fusion: primary versus prior cheilectomy
- Postoperative function after metatarsophalangeal fusion: primary versus prior cheilectomy
- Complications after arthrodesis
- Considerations in choosing cheilectomy versus primary fusion
- Intraoperative considerations: primary versus conversion surgery
- Future directions
- Clinics care points
- Summary
- Surgical Management of Failed First Metatarsophalangeal Joint Arthroplasty
- Key points
- Introduction
- Background on metatarsophalangeal joint arthroplasty
- Clinical presentation
- Imaging
- Treatment
- Exposure
- Case I: revision to metatarsophalangeal arthrodesis for failure of a silastic metatarsophalangeal arthroplasty implant
- Case II: revision to metatarsophalangeal arthrodesis for failure of the polyvinyl alcohol hydrogel implant
- Outcomes
- Summary
- Clinics care points
- Supplementary data
- No. of pages: 240
- Language: English
- Edition: 1
- Volume: 29-3
- Published: July 30, 2024
- Imprint: Elsevier
- Hardback ISBN: 9780443131196
- eBook ISBN: 9780443131202
JN
James A. Nunley
Affiliations and expertise
Goldner Jones Distinguished Professor, Foot and Ankle Orthopedic Surgeon, Duke University