Hallux Rigidus

A condition caused by degenerative arthritis (see OSTEOARTHRITIS) of the METATARSOPHALANGEAL JOINT of the great toe and characterized by pain and limited dorsiflexion, but relatively unrestricted plantar flexion.

Also Known As:

Networked: 397 relevant articles (43 outcomes, 73 trials/studies)

Relationship Network

Disease Context: Research Results

Related Diseases

1.	Pain (Aches)
2.	Hallux Valgus
3.	Osteoarthritis
4.	Congenital Abnormalities (Deformity)
5.	Rheumatoid Arthritis

Experts

1.	Roukis, Thomas S: 12 articles (07/2017 - 09/2003)
2.	Baumhauer, Judith F: 7 articles (10/2021 - 01/2013)
3.	Glazebrook, Mark: 6 articles (04/2019 - 05/2016)
4.	Younger, Alastair S E: 5 articles (04/2019 - 05/2016)
5.	Kennedy, John G: 4 articles (05/2022 - 04/2006)
6.	Barták, V: 4 articles (01/2022 - 06/2010)
7.	Hromádka, R: 4 articles (01/2022 - 06/2010)
8.	Popelka, S: 4 articles (01/2022 - 06/2010)
9.	Daniels, Timothy R: 4 articles (04/2019 - 03/2017)
10.	Le, Ian L D: 4 articles (04/2019 - 05/2016)

Drugs and Biologics

Drugs and Important Biological Agents (IBA) related to Hallux Rigidus:

1.	HydrogelsIBA 07/01/2020 - "Previous Level I studies show promising results for the use of a hydrogel synthetic cartilage implant (SCI) for the treatment of hallux rigidus. " 10/01/2019 - "The aim of this study was to determine the early outcomes and complications following the implantation of a hydrogel synthetic cartilage implant (SCI, Cartiva) for the treatment of hallux rigidus by a single surgeon. " 09/01/2020 - "We retrospectively reviewed patient-reported outcome scores and clinical outcomes for patients treated for hallux rigidus with PVA hydrogel implant at an academic, multisurgeon center. " 07/01/2020 - "This was a retrospective chart review of patients undergoing hydrogel synthetic cartilage implant for the treatment of hallux rigidus from July 2017 to November 2018. " 01/01/2020 - "Motion Preservation in Hallux Rigidus After Failure of Hydrogel Implantation: Treatment Considerations and a Report of 2 Cases."
2.	Hyaluronic Acid (Hyaluronan)IBA 01/01/2007 - "Sodium hyaluronate in the treatment of hallux rigidus. " 01/18/2021 - "A gentleman of 50 years of age presented with a painful hallux rigidus grade 2 resistant to any previous conservative treatment (including nonsteroidal anti-inflammatory drugs and hyaluronic acid injections). " 01/01/2007 - "Intra-articular injections of sodium hyaluronate are effective and safe in decreasing hallux rigidus pain. " 01/01/2007 - "The purpose of this study was to evaluate the effectiveness and safety of intra-articular sodium hyaluronate (Ostenil)mini) compared to intra-articular triamcinolone acetonide (Trigon depot) in the treatment of painful hallux rigidus. " 10/01/2018 - "Covering of the metatarsal head after resection arthroplasty with the PGA-hyaluronan implant immersed with autologous PRP is safe and leads to a notable improvement of the symptoms in patients with hallux rigidus."
3.	MetalsIBA 08/01/2020 - "Novel treatment for hallux rigidus using a temporary metal interpositional device." 01/01/2012 - "The aim of this study was to evaluate the short-term outcomes of metatarsal head metal resurfacing hemiarthroplasty in patients with advanced stage hallux rigidus. " 08/01/2020 - "The aim of this prospective study is to evaluate the results of a consecutive series of patients suffering from grade II-III hallux rigidus who underwent a mobility preserving surgical technique consisting of resection arthroplasty with implantation of a temporary metal spacer. " 08/01/2020 - "Thirty consecutive patients, 18 female and 12 male with a diagnosis of a grade II-III hallux rigidus, not responding to conservative treatment, underwent a minimal resection arthroplasty followed by the implantation of a temporary metal interpositional device by the same surgeon. " 01/01/2012 - "Metatarsal head metal resurfacing hemiarthroplasty provides high patient satisfaction level and good functional outcome in the short-term, in the surgical treatment of advanced stage hallux rigidus refractory to conservative treatment options."
4.	Adrenal Cortex Hormones (Corticosteroids)IBA 11/01/2021 - "Short-term Efficacy of Ultrasonographic Guidance for Intra-articular Corticosteroid Injection in Hallux Rigidus: A Single-Blind Randomized Controlled Trial." 11/01/2021 - "The aim of this study was to compare the effects of landmark-guided vs ultrasonography-guided intra-articular injection of corticosteroid into the first metatarsophalangeal joint cavity to reduce pain and dysfunction in patients with hallux rigidus. " 11/01/2014 - "Treatment of mild cases of hallux rigidus focuses on conservative, nonsurgical treatments such as rigid orthotic devices, physical therapy, pain relievers, and corticosteroid injections. "
5.	Polyvinyl AlcoholIBA 12/15/2021 - "Surgical management of hallux rigidus using a polyvinyl alcohol synthetic cartilage implant has gained popularity among foot and ankle surgeons. " 07/01/2020 - "As of now, there are no independent series for treatment of hallux rigidus utilising polyvinyl alcohol implants. " 01/01/2020 - "Comparison Between Polyvinyl Alcohol Implant and Cheilectomy With Moberg Osteotomy for Hallux Rigidus." 07/01/2023 - "A new polyvinyl alcohol hemi-arthroplasty implant has shown promising early and midterm results in the treatment of advanced hallux rigidus; however, arthrodesis of the first MTP joint remains the gold standard treatment for advanced hallux rigidus because of unpredictable outcomes after early-generation joint replacement implants." 08/01/2021 - "Using the terms "cartiva OR polyvinyl alcohol OR synthetic cartilage OR hemiarthroplasty AND hallux rigidus OR great toe arthritis OR first toe arthritis" we searched the PubMed/Medline database. "
6.	baysilon (polydimethylsiloxane)IBA 12/01/1995 - "Silastic single-stem implants in the treatment of hallux rigidus." 08/01/1995 - "Silastic single-stem implants in the treatment of hallux rigidus." 01/01/1992 - "Twenty-eight cases of hallux rigidus treated with the Swanson Silastic implant (single and double stem) were reviewed, with an 8-year follow-up. " 10/01/1980 - "A material of 26 patients treated for hallux rigidus using the Swanson silastic great toe implant is presented. " 04/01/1977 - "Silastic implant for hallux rigidus."
7.	polyvinyl alcohol hydrogelIBA 03/01/2021 - "The purpose of this study was to evaluate the clinical and radiological outcomes following a polyvinyl alcohol hydrogel implant in the treatment of hallux rigidus. " 03/01/2021 - "Our current cohort study demonstrated a high failure rate with the polyvinyl alcohol hydrogel implant in patients with hallux rigidus. " 03/01/2021 - "A retrospective cohort study investigating patients treated with a polyvinyl alcohol hydrogel implant for hallux rigidus was performed. " 03/01/2021 - "Early Failures of Polyvinyl Alcohol Hydrogel Implant for the Treatment of Hallux Rigidus." 11/01/2019 - "Food and Drug Administration approved the first and only polyvinyl alcohol hydrogel implant for the treatment of hallux rigidus. "
8.	Lactic Acid (Lactate)FDA LinkGeneric 03/01/2021 - "In this study, we retrospectively examined the results of the poly-L-D-lactic acid interpositional arthroplasty in a 9-year follow-up study among patients with hallux valgus with end-stage arthrosis or hallux rigidus. "
9.	Triamcinolone Acetonide (Azmacort)FDA LinkGeneric 01/01/2007 - "The purpose of this study was to evaluate the effectiveness and safety of intra-articular sodium hyaluronate (Ostenil)mini) compared to intra-articular triamcinolone acetonide (Trigon depot) in the treatment of painful hallux rigidus. "
10.	PolymersIBA 10/01/2018 - "Aim of this study was to analyze the clinical outcome after treatment of hallux rigidus with implantation of a resorbable polymer-based implant immersed with autologous platelet-rich plasma (PRP). " 10/01/2018 - "A 24-month follow-up after treatment of hallux rigidus with resection arthroplasty in combination with a resorbable polymer-based implant and platelet-rich plasma."

Therapies and Procedures

1.	Arthrodesis 09/01/2011 - "When the complete clinical picture of hallux rigidus is present, arthrodesis is the gold standard. " 03/01/2011 - "Arthrodesis of the MTP 1 joint is widely accepted as the gold standard for end-stage hallux rigidus. " 07/01/2023 - "When performing MTP arthrodesis in patients with hallux rigidus, increasing the first MTP dorsiflexion angle may correlate with improved intermediate term patient reported outcomes. " 02/02/2023 - "While metatarsophalangeal joint (MTPJ) arthrodesis is regarded as the gold standard treatment option for end-stage hallux rigidus (HR), synthetic cartilage implant (SCI) resurfacing has gained popularity. " 11/01/2021 - "First metatarsophalangeal joint (MTPJ) arthrodesis is currently the gold standard technique for advanced hallux rigidus. "
2.	Arthroplasty 05/01/2017 - "Interpositional arthroplasty for hallux rigidus was found to have excellent or good results in most patients at a mean follow-up of 62.2 months. " 10/01/2006 - "This evidence proves that implant arthroplasty is not the best treatment for patients with hallux rigidus or other first-MPJ pathology." 01/01/2018 - "Capsular interposition arthroplasty was a safe and effective treatment for severe hallux rigidus. " 09/01/2010 - "The results of this systematic review demonstrate improvement in patient outcomes and first metatarsal-phalangeal joint dorsiflexion, as well as few complications following autogenous soft tissue interpositional arthroplasty for end-stage hallux rigidus. " 12/01/2023 - "Although long-term randomized controlled trials are lacking for interposition arthroplasty, it represents a valid alternative for the treatment of end-stage hallux rigidus also in the young active patient who wants to avoid a definitive intervention immediately. "
3.	Osteotomy 01/01/2019 - "Dorsiflexory phalangeal osteotomy has been shown to be an effective treatment for mild to moderate hallux rigidus in short- to medium-term follow-up studies. " 01/01/2019 - "Dorsiflexory phalangeal osteotomy maybe a reliable long-term treatment for grade II or moderate hallux rigidus and is a safe and effective alternative to first MTP joint fusion in joints where movement is still present and joint cartilage is viable." 01/01/2020 - "Though recent studies have evaluated the safety and efficacy of the implant, no study has compared outcomes following PVA implantation with those following traditional joint-preserving procedures for hallux rigidus, such as cheilectomy with Moberg osteotomy. " 01/10/2023 - "This study provides the first comparison of patient-reported outcomes between isolated cheilectomy (C) and cheilectomy with Moberg (CM) osteotomy for hallux rigidus. " 03/01/2022 - "The current study aimed to assess the outcomes of sliding oblique metatarsal osteotomy fixated with a K-wire without cheilectomy for hallux rigidus. "
4.	Hemiarthroplasty 08/01/2023 - "The purpose of this study is to compare outcomes from a single institution on the treatment of hallux rigidus using cheilectomy and SCI hemiarthroplasty. " 02/01/2018 - "The aim of this study was to evaluate the mid- to long-term outcomes of metatarsal head resurfacing hemiarthroplasty in the surgical treatment of advanced-stage hallux rigidus. " 08/01/2016 - "This study looks at the failure and complications arising secondary to resurfacing and hemi-arthroplasty done at the metatarsal head in patients with hallux rigidus. " 03/01/2015 - "The purpose of the present study was to evaluate the short-term results of metatarsal head resurfacing hemiarthroplasty in the treatment of advanced hallux rigidus. " 08/01/2023 - "SCI hemiarthroplasty may offer superior range of motion and functional outcomes than cheilectomy for hallux rigidus. "
5.	Replacement Arthroplasty 01/01/2023 - "The hallux stiffness parameter showed a significant improvement after the joint replacement compared to patients with hallux rigidus (p<0.0001). " 01/01/2023 - "Additional studies will be needed to confirm that the indication for the first MTP joint replacement is justified in hallux rigidus in terms of the effect on forefoot biomechanics. " 01/01/2017 - "The aim of this study was to assess the results of cheilectomy and total joint replacement (TJR) in patients with hallux rigidus. " 07/01/2014 - "Ceramic first metatarsophalangeal (MP) joint replacement has been reported for treatment of hallux rigidus, but there are no published mid- or long-term studies available. " 10/01/2010 - "The purpose of this study was to assess clinical, radiological and functional outcome, with special regard to recreational and sports activity, after first metatarsophalangeal joint replacement in patients affected by hallux rigidus grade III. Twenty-three patients who had undergone total joint replacement of the first metatarsophalangeal joint were examined preoperatively and three, six, 12 and 18 months postoperatively. "