ABSTRACT
Despite hallux limitus/rigidus being a common condition, results of surgical procedures
specifically pertaining to athletes are scarce. The results of 100 modified Valenti
procedures, prospectively studied from January 2000 to June 2016 with an average 49.17
months of follow-up, are presented evaluating demographics, sport, time and ability
to return to activity (RTA), decreased desired activity level, and need for additional
surgery. Inclusion criteria included athletes who have exhausted conservative care
without relief of daily pain, dorsiflexion <20°, and grade ≥2. Seventeen had grade
2, 79 had grade 3, and 4 had grade 4 disease. RTA for the 89 procedures where exact
time could be determined was 9.25 weeks; however, 100% were confirmed to RTA to some
degree. The RTA of dancers and runners (the largest portion of the cohort at 76) was
around 8 weeks, whereas soccer players were the slowest at >16 weeks, which was significant.
There was no other significant difference in RTA between sport, sex, or grade of hallux
limitus/rigidus except for between runners and soccer players. Six patients (6%) stated
a decreased desire to activity, although this was not a significant finding. The modified
Valenti procedure is a safe and highly effective treatment for running and jumping
athletes limited by hallux limitus/rigidus because 94% of patients were able to return
to their desired level of activity.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: December 13, 2018
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2018 by the American College of Foot and Ankle Surgeons. All rights reserved.
