Hallux Rigidus: The Valenti Arthroplasty

  • John F. Grady
  • Audra M. Smith
  • Yelena Boumendjel
  • Amol Saxena

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.

References

  1. 1.
    Coughlin MJ, Shurnas PS. Hallux rigidus: grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003;85:2072-2088.PubMedGoogle Scholar
  2. 2.
    Easley ME, Davis WH, Anderson RB. Intermediate to long-term follow-up of medial-approach dorsal cheilectomy for hallux rigidus. Foot Ankle Int. 1999;20:147-152.PubMedGoogle Scholar
  3. 3.
    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;91:202-207.PubMedGoogle Scholar
  4. 4.
    Fellman J, Zollinger H. Resektionsarthroplastik des ersten Metatarsophalangealgelenkes nach Keller-Brandes. Oper Orthop Traumatol. 1998;10:143-151.CrossRefGoogle Scholar
  5. 5.
    Geldwert JJ, Rock GD, McGrath MP. Cheilectomy: still a useful technique for grade I and grade II hallux limitus/rigidus. J Foot Surg. 1992;31:154-159.PubMedGoogle Scholar
  6. 6.
    Grady JF, Axe TM. The modified Valenti procedure for the treatment of hallux limitus. J Foot Ankle Surg. 1994;33:365-367.PubMedGoogle Scholar
  7. 7.
    Grady JF, Axe TM, Zager EJ. A retrospective analysis of 772 patients with hallux limitus. J Am Podiatr Med Assoc. 2002;92:102-108.PubMedGoogle Scholar
  8. 8.
    Haddad SL. The use of osteotomies in the treatment of ­hallux limitus and hallux rigidus. Foot Ankle Clin. 2000;5:629-661.PubMedGoogle Scholar
  9. 9.
    Hanft JR, Mason ET, Landsman AS. A new radiographic classification for hallux limitus. J Foot Ankle Surg. 1993;32:397-404.PubMedGoogle Scholar
  10. 10.
    Kurtz DH, Harrill JC, Kaczander BI. The Valenti procedure for hallux limitus; a long-term follow-up and analysis. J Foot Ankle Surg. 1999;38:123-130.PubMedCrossRefGoogle Scholar
  11. 11.
    Oloff L. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1996;35:178-179, author reply 180-181.PubMedCrossRefGoogle Scholar
  12. 12.
    Root ML. An approach to foot orthopedics. J Am Podiatr Med Assoc. 1964;54:115-118.Google Scholar
  13. 13.
    Saxena A. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1995;34:485-488; discussion 511.PubMedCrossRefGoogle Scholar
  14. 14.
    Vanore J, O’Keefe R, Bidny M. Hallux rigidus. In: Marcinko D, ed. APMA Textbook of Podiatric Medical and Surgical Practice. Baltimore: Williams & Wilkins; 1990:93-95.Google Scholar
  15. 15.
    Weil LS. The Valenti procedure for hallux limitus/rigidus. J Foot Ankle Surg. 1996;35:179-180, author reply 180-181.PubMedCrossRefGoogle Scholar
  16. 16.
    Olms K, Grady J, Schulz A. The Valenti resection arthroplasty in the treatment of advanced hallux rigidus. Oper Orthop Traumatol. 2008;20(6):492-499.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • John F. Grady
    • 1
  • Audra M. Smith
    • 2
  • Yelena Boumendjel
    • 2
  • Amol Saxena
    • 3
  1. 1.Department of SurgeryFoot and Ankle Institute of IllinoisOak LawnUSA
  2. 2.Department of PodiatryJesse Brown VA Medical CenterChicagoUSA
  3. 3.Department of Sports MedicinePAFMG-Palo Alto DivisionPalo AltoUSA

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