HALLUKS RİJİDUSTA KULLANILAN TEDAVİ SEÇENEKLERİ

Year 2012, Volume: 1 Issue: 2, 85 - 89, 30.08.2012

Gökhan Meriç , Aydın Budeyri Koray Başdelioğlu Aykut Demir Ali Engin Uysal

Abstract

Halluks rijidus 1. metatarsofalangeal (MTF) eklemin dejeneratif ve ilerleyici artiritine bağlı gelişen ağrı, dorsifleksiyon kısıtlılığı ve dorsal osteofitlerle karakterize bir hastalıktır. Hastalığın tedavisi klinik şiddeti ve evresine göre değişmektedir. Hastalığın erken döneminde konservatif tedavi tercih edilirken geç dönemde cerrahi tedavi tercih edilmektedir. Tüm hastalar için geçerli olan tek bir standard cerrahi tedavi bulunmamaktadır. Halluks rijidusun cerrahi tedavisi hastanın yaşına, aktivite düzeyine ve cerrahi tedaviden beklentisine göre değişmektedir. Bu derlemede güncel literatürler eşliğinde halluks rijidus tedavi seçenekleri irdelenmiştir.

Keywords

Halluks rijidus, osteotomi, çelyektomi, artrodez

TREATMENT OPTİONS İN HALLUX RİGİDUS

Abstract

Hallux rigidus, is a dissease charactherized by the pain on the 1 metatarsophalangeal (MTP) joint due to the degenerative and progressive arthiritis and the formation of dorsal osteophytes also accompanied by the limitation of the toe dorsiflexion. Clinical appearence and the treatment depends on the stage of the disease. While conservative treatment is preferred for the early stage of the disease, surgical treatment is preffered for the late stages of the disease. There is no single standard surgical treatment for all patients. Surgical treatment of hallux rijidus varies according to the patient's age, activity level, and patients’ expectations. In this article, current treatment options for halluks rigidus are evaluated due to the current concepts in the recent literature.

Keywords

Hallux rigidus, osteotomy, cheilectomy, arthrodesis

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