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Sports Medicine and Arthroscopic Surgery of the Foot and Ankle pp 29–39Cite as

Hallux Rigidus: The Valenti Arthroplasty

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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.

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Author information

Authors and Affiliations

  1. Department of Surgery, Foot and Ankle Institute of Illinois, 4650 Southwest Highway, Oak Lawn, 60453, IL, USA

    John F. Grady D.P.M.

  2. Department of Podiatry, Jesse Brown VA Medical Center, Chicago, IL, USA

    Audra M. Smith D.P.M. & Yelena Boumendjel D.P.M.

  3. Department of Sports Medicine, PAFMG-Palo Alto Division, Palo Alto, CA, USA

    Amol Saxena D.P.M.

Authors
  1. John F. Grady D.P.M.
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  2. Audra M. Smith D.P.M.
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  3. Yelena Boumendjel D.P.M.
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  4. Amol Saxena D.P.M.
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Corresponding author

Correspondence to John F. Grady D.P.M. .

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Editors and Affiliations

  1. Sports & Surgical Podiatry, Dept. Sports Medicine, Palo Alto Medical Foundation, El Camino Real 795, Palo Alto, 94301, California, USA

    Amol Saxena

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Grady, J.F., Smith, A.M., Boumendjel, Y., Saxena, A. (2013). Hallux Rigidus: The Valenti Arthroplasty. In: Saxena, A. (eds) Sports Medicine and Arthroscopic Surgery of the Foot and Ankle. Springer, London. https://doi.org/10.1007/978-1-4471-4106-8_3

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  • DOI: https://doi.org/10.1007/978-1-4471-4106-8_3

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4105-1

  • Online ISBN: 978-1-4471-4106-8

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