ARS PEDIS
Hallux rigidus - degenerative joint disease of the big toe metatarsophalangeal joint
Hallux rigidus (Latin: rigidus = stiff) is a degenerative joint disease affecting the metatarsophalangeal joint of the big toe, characterized by increasing stiffness and/or joint pain.
Causes may include excessive length of the first metatarsal bone and misalignments (such as Hallux valgus) leading to improper loading.
Treatment depends on the stage and symptoms, involving either surgery with the gradual removal of bony protrusions restricting mobility (called cheilectomy), slight shortening of the first metatarsal bone (Youngswick procedure), or the immobilization (fusion) of a joint that is already hardly mobile.
In some (rare) cases, joint replacement with artificial joints may be considered as part of the surgical intervention.
Treatment: Minor procedures to larger bone realignments
Surgery duration: Depending on the extent, 30 – 60 minutes
Anesthesia: Regional anesthesia (foot block, sciatic block), optionally with twilight sleep or general anesthesia
Postoperative Care: Physical therapy and lymphatic drainage, suture removal after 2 weeks, 1-4 weeks in a postoperative shoe, walking immediately possible
Return to Daily Activities: Depending on the profession, after 2 weeks to 2 months
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