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SURGICAL TREATMENT OF HALLUX LIMITUS/RIGIDUS IN YOUNG FEMALE ATHLETE

Authors
Publisher
Croatian Olympic Committee
Publication Date
Keywords
  • Hallux Limitus
  • Hallux Rigidus
  • Kirurško Liječenje
  • 3D- Osteotomja
  • Hallux Limitus
  • Hallux Rigidus
  • Surgical Treatment
  • 3D-Osteotomy
Disciplines
  • Medicine

Abstract

Hallux limitus/rigidus is defined as the limitation of dorsiflection in the first metatarsophalangeal joint of the big toe due to the formation of osteophytes around the dorsal aspect of the articular margin of the head of the first metatarsal. Many ethiologies have been proposed including trauma. More types of the conservative and surgical treatment are practised. The autors report a case of the 19 years female sportist with hallux limitus (grade -2 disease) proceeded to open surgery with postoperative follow-up of ten years. The surgical procedure had been described before by Lucijanić originaly for treatment of hallux valgus. In the base of applied procedure is 3D distal osteotomy of the first metatarsal, shortening and plantar displacement of the metatarsal head and osteosynthesis using a compression screw. The clinical, radiological and pedobarography feature before and after surgery is described.The preoperative first metatarsophalangeal joint dorsiflexion was 20°. Ten years after surgery the patient is mainly pain-free and with good range of motion of the first metatarsophalangeal joint and dorsiflexion is 55 degrees. She is capable for recreational long running.

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