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A Retrospective Analysis of 772 Patients with Hallux Limitus

John F. Grady, DPM^*, Timothy M. Axe, DPM, Emil J. Zager, DPM and Lori A. Sheldon, DPM

^* Fellow, American College of Foot and Ankle Surgeons; Director of Podiatric Residency, Veterans Affairs Chicago Health Care System, West Side Division, Chicago, IL. Mailing address: Foot & Ankle Associates, 4650 SW Highway, Oak Lawn, IL 60453.
Podiatric Physician, Veterans Affairs Chicago Health Care System, West Side Division, Chicago, IL.
Submitted during fellowship, Foot & Ankle Associates, Oak Lawn, IL.

Abstract

In this retrospective analysis of 772 patients with symptomatic hallux limitus, 428 patients (55%) were successfully treated with conservative care alone; of these 428 patients, 362 (84%) were treated with orthoses. Corticosteroid injections and a change in shoes allowed 24 patients (6% of conservatively treated patients) and 42 patients (10%), respectively, to have less discomfort and return to previous activity levels. Overall, 47% of the patients in this analysis were successfully treated with orthoses. Surgical procedures were performed on 296 patients (38% of all patients) who did not respond to conservative care. In this analysis, 48 of the patients (6% of all patients) who did not respond to conservative care either refused surgery or were not surgical candidates. These data are intended to provide podiatric physicians with expected outcomes for conservative care of hallux limitus. The etiology, symptoms, conservative management, and surgical treatments of hallux limitus and hallux rigidus are also reviewed. (J Am Podiatr Med Assoc 92(2): 102-108, 2002)

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