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The case documentation below describes the medical course of a hallux rigidus treatment. The 78-year-old patient is experiencing increasing pain in the metatarsophalangeal joint. She complains of shoe pressure pain and states marked rolling pain. The surgical treatment method is arthrodesis of the metatarsophalangeal joint with two human bone screw grafts. Dorsal view of the metatarsophalangeal joint of the big toe. The cup and cone technique is not used in this case. After the operation, further treatment is carried out in a hallux shoe for 4 weeks without weight-bearing, 2 weeks with weight-bearing.

X-ray image preoperatively

Hallux rigidus with subluxation in the metatarsophalangeal joint

X-ray postoperatively

Control after arthrodesis of the MTP I joint with 2 Shark Screws (4.0mm and 4.5mm) inserted in parallel from the dorsal side

6 weeks postoperatively

3 months postoperatively

Very good build through recognizable. Full load for 4 weeks

1.5 years postoperatively

Bone screw graft still suggestively recognizable

Clinical case workup by Dr. Klaus Pastl, Linz in Austria. (Documentation period 2016-2017) © surgebright GmbH

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