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Friday, January 23, 2015
Hallux Rigidus: Cheilectomy, Implant or Fusion
This is a nice review of current thoughts from the surgical standpoint on Hallux Rigidus. I am remiss at telling my patients what stage they have, and the article makes distinctions between Stage 1, 2, 3, and 4. I believe the conservative treatment in Stages 3 and 4, the so-called surgical stages could probably be better, with less going to surgery. I do not have a magic formula, but have so many patients in these phases who are trying to avoid surgery, especially if fusions is their only option offered. This article does give a valid argument towards joint replacement before fusion, which I am happy they considered this.