Hallux Rigidus is a degenerative condition of the big toe joint, one of the most traumatized joint in the human body, resulting in pain and restricted range of motion of the first MPJ (Metatarsalphalangeo Joint). Conservative measures include orthotics, stiff-soled shoes, and avoidance of exacerbating activities.
Once conservative measures fail, treatment options include chilectomy for mild arthritis or fusion or joint replacement for severe arthritis. The case above is an example of the first MPJ arthrodesis, otherwise known as fusion. This provides patients with a stable, pain-free joint and provides patients the ability to return to normal activities. Essentially, it’s a procedure that results in trading a painful stiff joint for a non-painful stiff joint.
My approach is to use locking plate technology combined with stem cell grafting called Trinity. This expedites healing, shortens recovery time, and provides a more predictable outcome. This approach allows patients to weight bear post-operatively in a protective boot, typically for 4-6 weeks.