Abstract
Surgical treatments reported in literature for the treatment of hallux rigidus include implant arthroplasty, cheilectomy, various osteotomies (i.e., Hohmann, Regnauld/enclavement, plantarflexory), non-implant arthroplasty (i.e., Keller-Brandes, Mayo-Hueter), and arthrodesis.1-15 The original Valenti procedure, described at the Hershey, Pennsylvania Surgical Seminar in 1987, was a dorsally biased joint resection arthroplasty of the first metatarsophalangeal joint in a V-type fashion. Valente Valenti (personal communication) had performed his procedure on more than 600 patients since 1976, with great success. More than 90% demonstrated improved and pain-free range of motion. A modification of the Valenti procedure for treatment of hallux rigidus is presented, which preserves the joint for greater stability, and allows future revision to arthrodesis or implant arthroplasty if necessary.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Coughlin MJ, Shurnas PS. Hallux rigidus: grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003;85:2072–88.
Easley ME, Davis WH, Anderson RB. Intermediate to long-term follow-up of medial-approach dorsal cheilectomy for hallux rigidus. Foot Ankle Int. 1999;20:147–52.
Ess P, Hamalainen M, Leppilahti J. Non-constrained titanium-polyethylene total endoprosthesis in the treatment of hallux rigidus. A prospective clinical 2-year follow-up study. Scand J Surg. 2002;91:202–7.
Fellman J, Zollinger H. Resektionsarthroplastik des ersten Metatarsophalangealgelenkes nach Keller-Brandes. Oper Orthop Traumatol. 1998;10:143–51.
Geldwert JJ, Rock GD, McGrath MP. Cheilectomy: still a useful technique for grade I and grade II hallux limitus/rigidus. J Foot Surg. 1992;31:154–9.
Grady JF, Axe TM. The modified Valenti procedure for the treatment of hallux limitus. J Foot Ankle Surg. 1994;33:365–7.
Grady JF, Axe TM, Zager EJ. A retrospective analysis of 772 patients with hallux limitus. J Am Podiatr Med Assoc. 2002;92:102–8.
Haddad SL. The use of osteotomies in the treatment of hallux limitus and hallux rigidus. Foot Ankle Clin. 2000;5:629–61.
Hanft JR, Mason ET, Landsman AS. A new radiographic classification for hallux limitus. J Foot Ankle Surg. 1993;32:397–404.
Kurtz DH, Harrill JC, Kaczander BI. The Valenti procedure for hallux limitus; a long-term follow-up and analysis. J Foot Ankle Surg. 1999;38:123–30.
Oloff L. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1996;35:178–9, author reply 180–1.
Root ML. An approach to foot orthopedics. J Am Podiatr Med Assoc. 1964;54:115–8.
Saxena A. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1995;34:485–8; discussion 511.
Vanore J, O’Keefe R, Bidny M. Hallux rigidus. In: Marcinko D, editor. APMA textbook of podiatric medical and surgical practice. Baltimore: Williams & Wilkins; 1990. p. 93–5.
Weil LS. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1996;35:179–80, author reply 180–1.
Olms K, Grady J, Schulz A. The Valenti resection arthroplasty in the treatment of advanced hallux rigidus. Oper Orthop Traumatol. 2008;20(6):492–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag London
About this chapter
Cite this chapter
Grady, J.F., Smith, A.M., Boumendjel, Y., Saxena, A. (2013). Hallux Rigidus: The Valenti Arthroplasty. In: Saxena, A. (eds) Sports Medicine and Arthroscopic Surgery of the Foot and Ankle. Springer, London. https://doi.org/10.1007/978-1-4471-4106-8_3
Download citation
DOI: https://doi.org/10.1007/978-1-4471-4106-8_3
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4105-1
Online ISBN: 978-1-4471-4106-8
eBook Packages: MedicineMedicine (R0)