Hallux Rigidus

Abstract

The traditional treatment method for arthrodesis of the first metatarsophalangeal (MTP) joint in hallux rigidus requires a global exposure with direct visualization through an arthrotomy for complete debridement of all hyaline cartilage surfaces down to bleeding bone before reduction and fixation is obtained. Arthroscopic-assisted MTP arthrodesis technique offers some potential advantages over the traditional open approach: Excellent intra-articular visualization, decreased soft tissue dissection, shortened postoperative recovery, excellent cosmetic and functional results, and performed as an outpatient with less-anticipated postoperative pain decreased skin problems and decreased infection. Arthroscopic MTP arthrodesis is best suited for patients with hallux rigidus requiring in situ fusion with minimal deformity or bony destruction, and a high degree of technical expertise and experience in MTP arthroscopy is required.