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.
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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.