This guideline “ Metatarsophalangeal joint replacement of the hallux ” illustrate the safety and efficacy of metatarsophalangeal joint replacement of the hallux appear adequate to support the use of this procedure. Clinicians should ensure that patients fully understand the uncertainties about the place of this procedure in relation to alternative treatment options. Osteoarthritis and rheumatoid arthritis commonly affect the metatarsophalangeal (MTP) joint at the base of the big toe. The joint may become predominantly stiff (hallux rigid) or deformed (hallux valgus).
Conservative treatments include exercise, physiotherapy, analgesics, non-steroidal anti-inflammatory tablets or cream, and steroid injections into the joint. Surgery may be required in patients with severe symptoms that do not respond to conservative measures. The main surgical options are the fusion of the joint…
