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Hallux Rigidus: The Valenti Arthroplasty

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

Abstract

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.

Keywords

Proximal Phalanx Medullary Canal Passive Range Metatarsophalangeal Joint Resection Arthroplasty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Coughlin MJ, Shurnas PS. Hallux rigidus: grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003;85:2072-2088.PubMedGoogle Scholar
  2. 2.
    Easley ME, Davis WH, Anderson RB. Intermediate to long-term follow-up of medial-approach dorsal cheilectomy for hallux rigidus. Foot Ankle Int. 1999;20:147-152.PubMedGoogle Scholar
  3. 3.
    Ess P, Hamalainen M, Leppilahti J. Non-constrained titanium-polyethylene total endoprosthesis in the treatment of hallux rigidus. A prospective clinical 2-year follow-up study. Scand J Surg. 2002;91:202-207.PubMedGoogle Scholar
  4. 4.
    Fellman J, Zollinger H. Resektionsarthroplastik des ersten Metatarsophalangealgelenkes nach Keller-Brandes. Oper Orthop Traumatol. 1998;10:143-151.CrossRefGoogle Scholar
  5. 5.
    Geldwert JJ, Rock GD, McGrath MP. Cheilectomy: still a useful technique for grade I and grade II hallux limitus/rigidus. J Foot Surg. 1992;31:154-159.PubMedGoogle Scholar
  6. 6.
    Grady JF, Axe TM. The modified Valenti procedure for the treatment of hallux limitus. J Foot Ankle Surg. 1994;33:365-367.PubMedGoogle Scholar
  7. 7.
    Grady JF, Axe TM, Zager EJ. A retrospective analysis of 772 patients with hallux limitus. J Am Podiatr Med Assoc. 2002;92:102-108.PubMedGoogle Scholar
  8. 8.
    Haddad SL. The use of osteotomies in the treatment of ­hallux limitus and hallux rigidus. Foot Ankle Clin. 2000;5:629-661.PubMedGoogle Scholar
  9. 9.
    Hanft JR, Mason ET, Landsman AS. A new radiographic classification for hallux limitus. J Foot Ankle Surg. 1993;32:397-404.PubMedGoogle Scholar
  10. 10.
    Kurtz DH, Harrill JC, Kaczander BI. The Valenti procedure for hallux limitus; a long-term follow-up and analysis. J Foot Ankle Surg. 1999;38:123-130.PubMedCrossRefGoogle Scholar
  11. 11.
    Oloff L. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1996;35:178-179, author reply 180-181.PubMedCrossRefGoogle Scholar
  12. 12.
    Root ML. An approach to foot orthopedics. J Am Podiatr Med Assoc. 1964;54:115-118.Google Scholar
  13. 13.
    Saxena A. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1995;34:485-488; discussion 511.PubMedCrossRefGoogle Scholar
  14. 14.
    Vanore J, O’Keefe R, Bidny M. Hallux rigidus. In: Marcinko D, ed. APMA Textbook of Podiatric Medical and Surgical Practice. Baltimore: Williams & Wilkins; 1990:93-95.Google Scholar
  15. 15.
    Weil LS. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1996;35:179-180, author reply 180-181.PubMedCrossRefGoogle Scholar
  16. 16.
    Olms K, Grady J, Schulz A. The Valenti resection arthroplasty in the treatment of advanced hallux rigidus. Oper Orthop Traumatol. 2008;20(6):492-499.PubMedCrossRefGoogle Scholar

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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