Hallux Rigidus: The Valenti Arthroplasty

  • John F. Grady
  • Audra M. Smith
  • Yelena Boumendjel
  • Amol Saxena


Surgical treatments reported in literature for the treatment of hallux rigidus include implant arthroplasty, cheilectomy, various osteotomies (i.e., Hohmann, Regnauld/enclavement, plantarflexory), non-implant arthroplasty (i.e., Keller-Brandes, Mayo-Hueter), and arthrodesis.1-15 The original Valenti procedure, described at the Hershey, Pennsylvania Surgical Seminar in 1987, was a dorsally biased joint resection arthroplasty of the first metatarsophalangeal joint in a V-type fashion. Valente Valenti (personal communication) had performed his procedure on more than 600 patients since 1976, with great success. More than 90% demonstrated improved and pain-free range of motion. A modification of the Valenti procedure for treatment of hallux rigidus is presented, which ­preserves the joint for greater stability, and allows future revision to arthrodesis or implant arthroplasty if necessary.


Proximal Phalanx Medullary Canal Passive Range Metatarsophalangeal Joint Resection Arthroplasty 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • John F. Grady
    • 1
  • Audra M. Smith
    • 2
  • Yelena Boumendjel
    • 2
  • Amol Saxena
    • 3
  1. 1.Department of SurgeryFoot and Ankle Institute of IllinoisOak LawnUSA
  2. 2.Department of PodiatryJesse Brown VA Medical CenterChicagoUSA
  3. 3.Department of Sports MedicinePAFMG-Palo Alto DivisionPalo AltoUSA

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