Reassessing Surgical Options For Recalcitrant Hallux Limitus In An Active Population

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John F. Grady, DPM, FASPS

1. Grady JF, Axe TM, Zager EJ, Sheldon LA. A retrospective analysis of 772 patients with hallux limitus. J Am Podiatr Med Assoc. 2002;92(2):102-8.
2. Coughlin MJ, Shurnas PS. Hallux rigidus. J Bone Joint Surg Am. 2004;86-A Suppl(pt 2):119-30.
3. Grady JF, Axe TM. The modified Valenti procedure for the treatment of hallux limitus. J Foot Ankle Surg. 1994;33(4):365-7.
4. Grady JM. Die Resktionsarthroplastik nach Valenti zur Behandlung des fortgeschrittenen Hallux rigidus (“The Valenti resection arthroplasty in the treatment of advanced hallux rigidus”). Operative Orthopadie und Traumatologie. 2008;6:492-499.
5. Vanore JV, Christensen JC, Kravitz SR, Schuberth JM, Thomas JL, Weil LS, Zlotoff HJ, Mendicino RW, Couture SD; Clinical Practice Guideline First Metatarsophalangeal Joint Disorders Panel of the American College of Foot and Ankle Surgeons. Diagnosis and treatment of first metatarsophalangeal joint disorders. Section 2: Hallux rigidus. J Foot Ankle Surg. 2003;42(3):124-36.
6. DeHeer PA. The case against first metatarsal phalangeal joint implant arthroplasty. Clin Podiatr Med Surg. 2006;23(4):709-23.

   For further reading, see “Key Insights On Treating Hallux Limitus” in the March 2007 issue of Podiatry Today, “How To Select The Right Procedure For Hallux Limitus” in the December 2003 issue or “Understanding The Biomechanical Effects Of Hallux Limitus” in the August 2007 issue.

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Emanuel Willissays: May 9, 2013 at 6:44 pm

Dr. Grady,

I have used the Valenti Arthroplasty and Keller Interpositional Arthroplasty with good success for
hallux limitus. I agree with you rethinking our approach to Hallux Limitus.

Emanuel Willis,DPM,FACFAS
Scholl's Class of 1986

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