A retrospective analysis of joint salvage procedures for grades III and IV hallux rigidus.

Unlabelled: The purpose of this study was to evaluate the outcome of the use of a decompression osteotomy for the treatment of end-stage hallux rigidus. We conducted a retrospective analysis of 28 feet (23 patients) with grades III and IV hallux rigidus that underwent a first metatarsal head decompression osteotomy with preservation of the articular surfaces of the first metatarsophalangeal joint. We also devised a 9-item questionnaire to explore the patients' perceptions of preoperative and postoperative pain, limitations of activity, influence on shoe wear, and the total range of motion of the first metatarsophalangeal joint.