RESUMO
El hallux rigidus es la artrosis más frecuente en el pie y tobillo y la segunda afectación más importante de la primera articulación metatarsofalángica tras el hallux valgus. Si no se trata, puede producir importantes alteraciones en la marcha, movilidad y actividades de la vida diaria. Pretendemos en este artículo de revisión presentar un algoritmo de tratamiento completo para todos los grados de esta enfermedad, tras una concienzuda revisión bibliográfica.
Hallux rigidus is the most frequent arthrosis of the foot and ankle and the second most important condition involving the first metatarsophalangeal joint after hallux valgus. If left untreated, it may cause important alterations in gait, mobility and activities of daily living. The purpose of this review article is to describe a complete treatment algorithm for all grades of this condition, after a thorough bibliographic review.
Assuntos
Humanos , Algoritmos , Hallux Rigidus/cirurgiaRESUMO
Hallux rigidus is the most frequent arthrosis of the foot and ankle and the second most important condition involving the first metatarsophalangeal joint after hallux valgus. If left untreated, it may cause important alterations in gait, mobility and activities of daily living. The purpose of this review article is to describe a complete treatment algorithm for all grades of this condition, after a thorough bibliographic review.
Assuntos
Algoritmos , Hallux Rigidus/cirurgia , HumanosRESUMO
High-energy tibial pylon fractures represent some of the most severe injuries of the ankle joint and currently represent a challenge for the orthopedic surgeon. These are usually polytraumatized patients and before admitting them into the traumatology unit, spinal cord, pelvic or thoracoabdominal injuries should be ruled out. Due to the special anatomy of the area, its thin skin cover and subcutaneous location, soft tissues are usually severely affected and this is key when choosing the time for a surgical intervention. Although the definitive treatment of these injuries is controversial, the so called two-stage treatment seems to predominate in order to minimize soft tissue iatrogenic injuries applying the concept of orthopedic damage control of the limb. We present the preliminary results of 10 patients operated with this method at our center.