Abstract
We first performed autogenous bone grafting for lesions of the hallux sesamoid in 1984. During the next 9 years, 21 patients (11 men and 10 women with an average age of 34 and 32 years, respectively) underwent this surgical procedure for symptomatic tibial hallux sesamoid nonunions. Successful bony union was achieved in all but two patients. The majority of patients obtained concomitant relief of preoperative symptomatology and returned to their preinjury level of activity. We believe that this procedure serves as an alternative to hallux sesamoid excision in selected cases.
Get full access to this article
View all access options for this article.
References
1.
.
Aper
R.L.
Saltzman
C.L.
Brown
T.D.
: The effect of hallux sesamoid excision on the flexor hallucis longus moment arm . Clin. Orthop. Relat. Res. , 325 :209 –217 , 1996 .
2.
.
Caillot
R.
: Painful abnormalities of the toes . In Foot and Ankle Pain . Philadelphia , FA Davis , 1968 .
3.
.
Coughlin
M.
: Arthrodesis of the first metatarsophalangeal joint as salvage for the failed Keller procedure . J. Bone Joint Surg. , 69A :68 –75 , 1987 .
4.
.
Coughlin
M.J.
: Sesamoid pain: causes and surgical treatment . Instr. Course Lect. , 39 :23 –35 , 1990 .
5.
.
Drez
D.
: Forefoot problems in runners . In Symposium on the Foot and Leg in Running Sports . St. Louis , CV Mosby , 1982 .
6.
.
Lillich
J.
Baxter
D.
: Common forefoot problems in runners . Foot Ankle , 7 :145 –151 , 1986 .
7.
.
McBryde
A.M.
Jr.
: Running injuries: introduction . Instr. Course Lect. , 33 :253 –257 , 1984 .
8.
.
McBryde
A.M.
Jr.
Anderson
R.
: Sesamoid foot problems in the athlete . Clin. Sports Med. , 7 :51 –60 , 1988 .
9.
.
Pfeffinger
L.
Mann
R.
: Sesamoid and accessory bones . In
Mann
R.A.
Coughlin
M.J.
(eds.), Surgery of the Foot . St. Louis , CV Mosby , 1986 .
10.
.
Schenck
R.
Hechman
J.
: Fractures and dislocations of the forefoot: operative and nonoperative treatment . J. Am. Acad. Orthop. Surg. , 3 :70 –78 , 1995 .
11.
.
Turner
R.
: Dynamic post-surgical hallux varus after lateral sesamoidectomy: treatment and prevention . Orthopaedics , 9 :963 –969 , 1986 .
12.
.
Val Hal
M.
Keene
J.
Lange
T.
Clancy
W.G.
Jr.
: Stress fractures of the great toe sesamoids . Am. J. Sports Med. , 10 :122 –128 , 1982 .
13.
.
Weiss
J.S.
: Fracture of the medial sesamoid bone of the great toe: controversies in therapy . Orthopaedics , 14 :1009 –1007 , 1991 .