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Abstract：
Introduction Hallux rigidus (HR) is a degenerative condition affecting the first metatarsal phalangeal joint, causing stiffness and pain. Surgery is indicated for those who have failed a trial of conservative management. The purpose of this paper is to evaluate the functional outcomes at short and medium term after surgery for HR. Methods All patients who underwent surgical treatment for HR between 2017 and 2022 at the time of this study were identified and invited to return for a follow-up evaluation. Outcomes were assessed by comparison of pre-operative and post-operative visual analogue scale (VAS) and American Orthopaedic Foot and Ankle Society (AOFAS) scores. Results A total of 26 patients were included in our study with a mean follow-up of 31 months. There was a mean improvement in VAS score by 5.6 (p-value < 0.0001) and 5.7 (p-value = 0.0012) in patients who underwent joint-preserving (JP) and joint-sacrificing (JS) surgery, respectively. Patients who underwent JP surgery had a mean increase of 28.1 points (p-value < 0.0001) in the AOFAS Hallux score, while patients who underwent JS surgery had a mean increase of 27.29 points (p-value = 0.0066). Conclusion Functional outcomes after surgical management for HR are good at short- and medium-term follow-up. Good outcomes are seen with both JP and JS procedures. JP procedures should be considered as a first-line surgical option for HR as it allows revision procedures if required.
摘要：
介绍hallux刚性（HR）是一种退行性疾病，影响第一跖骨指骨关节，导致僵硬和疼痛。手术适用于保守治疗试验失败的人。本文的目的是评估HR手术后短期和中期的功能结果。方法确定在2017年至2022年期间接受HR手术治疗的所有患者，并邀请他们返回进行随访评估。通过比较术前和术后视觉模拟量表（VAS）和美国骨科足踝协会（AOFAS）评分来评估结果。结果共纳入26例患者，平均随访31个月。在接受关节保留（JP）和关节牺牲（JS）手术的患者中，VAS评分平均改善5.6（p值<0.0001）和5.7（p值=0.0012）。分别。接受JP手术的患者的AOFASHallux评分平均增加28.1分（p值<0.0001），而接受JS手术的患者平均增加27.29分(p值=0.0066)。结论HR外科治疗后的功能结局在短期和中期随访中是良好的。JP和JS程序都有良好的结果。JP手术应被视为HR的一线手术选择，因为如果需要，它可以进行翻修手术。
