Rehabilitation of Patients with Hallux Rigidus after First Metatarsophalangeal Joint Fusion

Karl Canseco MD1,3, Jason Long MS2,3, Richard Marks MD2, and Gerald Harris PhD2,3
1Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, WI, USA
2Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
3Orthopaedic and Rehabilitation Engineering Center, Marquette University/Medical College of Wisconsin, USA


Hallux rigidus is a disabling degenerative condition of the first metatarsophalangeal (MTP) joint which causes alterations of normal gait.  The goal of this study was to gain insight regarding more optimal rehabilitation of patients with hallux rigidus following fusion surgery.  Motion analysis was done before and after surgery on 5 patients with hallux rigidus.  Temporal-spatial parameters improved following surgery.    Hallux motion was restricted following fusion surgery as expected with an overall reduction in pain.  The results suggest the continued use of functional foot orthoses following joint fusion to reduce increased demands on adjacent foot structures while developing a stable ambulatory motion pattern.


Foot and ankle, Gait, Hallux rigidus, Arthrodesis, Rehabilitation


This work was supported by the National Institute on Disability and Rehabilitation Research (NIDRR), U.S. Department of Education

Author Contact Information:

Karl Canseco, MD
Medical College of Wisconsin
Froedtert Hospital East Clinics
Motion Analysis Laboratory
9200 W Wisconsin Ave.
Milwaukee, WI 53226
Tel.: 414-805-7487
Fax: 414-805-7488


  • Source Ordered
  • No Tables
  • Very Compatible


Disney produced a television show in the mid 1990s called Gargoyles. It's a great show and I'm a big fan. A few years ago Disney started to release the show on DVD. The last release was of season 2, volume 1. That was two years ago. Volume 2 has not been released. Why? Poor sales. So if you should find yourself wanting to support my work, instead I ask you pick up a copy of season 2, volume 1. It's a great show and you might find yourself enjoying it.