{"id":3043,"date":"2015-04-09T10:36:53","date_gmt":"2015-04-09T10:36:53","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/ca\/?p=3043"},"modified":"2016-10-18T13:31:22","modified_gmt":"2016-10-18T13:31:22","slug":"tractament-quirurgic-de-lhallux-rigidus","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/tractament-quirurgic-de-lhallux-rigidus\/","title":{"rendered":"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS"},"content":{"rendered":"<p>L&#8217;hallux r\u00edgidus \u00e9s la segona causa m\u00e9s comuna de dolor en l&#8217;articulaci\u00f3 metatarsofal\u00e0ngica del primer dit despr\u00e9s de l&#8217;hallux valgus. Per aix\u00f2, \u00e9s una patologia que trobem freq\u00fcentment a la consulta. Quan el tractament conservador no aconsegueix l&#8217;objectiu de disminuir el dolor i millorar la marxa, hem de proposar al pacient alternatives quir\u00fargiques ajustades el m\u00e0xim possible tant al grau de deformitat que presenti, edat, activitats esportives, treball, etc. amb la finalitat d&#8217;acabar amb el dolor i millorar-li la qualitat de vida.<\/p>\n<p>Es defineix com hallux r\u00edgidus la degeneraci\u00f3 artr\u00f2sica i progressiva de la primera articulaci\u00f3 metatarsofal\u00e0ngica (AMTF), provocant una limitaci\u00f3 a la flexi\u00f3 dorsal en estadis inicials i una anquilosi d&#8217;aquesta articulaci\u00f3 en estadis avan\u00e7ats.<br \/>\nL&#8217;etiologia \u00e9s desconeguda, encara que hi ha diversos factors que poden ajudar a l&#8217;aparici\u00f3 o empitjorament de la patologia, tals com els microtraumatismes repetits, malalties reum\u00e0tiques, gota, cirurgies pr\u00e8vies, etc.<\/p>\n<p>Per a l&#8217;elecci\u00f3 de la t\u00e8cnica quir\u00fargica adequada cal valorar el pacient en la seva globalitat (treball diari, activitats complement\u00e0ries, edat, etc.) aix\u00ed com una valoraci\u00f3 radiol\u00f2gica de la deformitat per poder determinar un pron\u00f2stic i proposar un tractament quir\u00fargic correcte. Per a aix\u00f2 la classificaci\u00f3 de Coughlin i Shurnas proposa 4 estadis segons el grau d&#8217;afectaci\u00f3. En els graus I i II (fig.1) realitzarem t\u00e8cniques quir\u00fargiques en les quals es preservi l&#8217;articulaci\u00f3, buscant augmentar el moviment DF de la MTF. (OT Weil, implants, Keller modificat\/artropl\u00e0stia d&#8217;interposici\u00f3).<\/p>\n<p>En tots els casos, a m\u00e9s de la t\u00e8cnica quir\u00fargica triada, es realitza una neteja articular per eliminar els oste\u00f2fits.<\/p>\n<p>La t\u00e8cnica amb millors resultats sol ser l&#8217;artrodesi metatarsofal\u00e0ngica, que pot ser fixada amb cargols, grapes o plaques.<\/p>\n<p>Per a la realitzaci\u00f3 de l&#8217;artrodesi, el m\u00e9s important \u00e9s la preparaci\u00f3 de les superf\u00edcies articulars i la posici\u00f3 en la qual artrodesarem l&#8217;AMTF (figs. 3 i 4). La posici\u00f3 correcta per a l&#8217;artrodesi (estant el peu en c\u00e0rrega) \u00e9s amb l&#8217;eix de la falange paral\u00b7lel al s\u00f2l, una angulaci\u00f3 en el pla sagital de 20-25\u00ba de l&#8217;AMTF en flexi\u00f3 dorsal, 5-10\u00ba de valgus en el pla transversal i amb una rotaci\u00f3 del dit neutra (ens ajudem de la posici\u00f3 de l&#8217;ungla, que ha de quedar completament paral\u00b7lela al s\u00f2l). Per a la preparaci\u00f3 de les superf\u00edcies articulars se solen utilitzar freses concavoconvexes, fresant i eliminant el cart\u00edlag articular perqu\u00e8 la fusi\u00f3 de l&#8217;articulaci\u00f3 sigui el m\u00e9s completa i estable possible. Una vegada fresat el cap del metatarsi\u00e0 i la base de la falange proximal, hem de mantenir l&#8217;articulaci\u00f3 en la posici\u00f3 correcta i escollir el material d&#8217;osteos\u00edntesi. En cas d&#8217;escollir cargols canulats per fixar l&#8217;artrodesi, introdu\u00efm dues agulles de Kirschner (AK) que sostindran l&#8217;AMTF i ens serveixen per trepanar i fer el forat guia per introduir el cargol, posant els cargols creuats entre si (figs. 5 i 6). En cas d&#8217;escollir fixar l&#8217;artrodesi amb placa, sistema biomec\u00e0nicament m\u00e9s estable (fig.7), tamb\u00e9 utilitzem les AK per sostenir l&#8217;AMTF, col\u00b7locant la placa en el dors de l&#8217;AMTF i trepanant per introduir els cargols que sostinguin la placa. Repetim el procediment per fixar l&#8217;articulaci\u00f3 amb grapes de mem\u00f2ria, posant una grapa a la part medial de l&#8217;AMTF i una altra a la cara dorsal.<\/p>\n<p>En els graus III (fig.2) i IV practicarem intervencions en les quals fusionem la MTF per eliminar el poc moviment que t\u00e9 aquesta i aix\u00ed eliminar el dolor (artrodesi).<\/p>\n<p><a href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto-1-e1428595700958.jpg\"><img  title=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto-1-e1428595700958.jpg\"  alt=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\"  width=\"388\" height=\"520\" \/><\/a><\/p>\n<p>Radiografia d&#8217;un hallux r\u00edgidus en un estadi II.<\/p>\n<p><a title=\"hallux rigidus tratamiento\" href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto2-e1428595804832.jpg\"><img  title=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto2-e1428595804832.jpg\"  alt=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\"  width=\"690\" height=\"498\" \/><\/a><\/p>\n<p>Preparaci\u00f3 de la superf\u00edc\u00ede articular de la base de la falange proximal del primer metatarsi\u00e0. Eliminaci\u00f3 del cart\u00edlag articular mitjan\u00e7ant fresat<\/p>\n<p><a title=\"tratamiento hallux rigidus\" href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto3-e1428595834339.jpg\"><img  title=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto3-e1428595834339.jpg\"  alt=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\"  width=\"784\" height=\"530\" \/><\/a><\/p>\n<p>Preparaci\u00f3 de la superf\u00edc\u00ede articular del cap del primer metatarsi\u00e0. Eliminaci\u00f3 del cart\u00edlag articular mitjan\u00e7ant fresat.<\/p>\n<div>\n<dl id=\"attachment_2369\">\n<dt><a title=\"hallux rigidus\" href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto4-e1428595869219.jpg\"><img  title=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto4-e1428595869219.jpg\"  alt=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\"  width=\"660\" height=\"446\" \/><\/a><\/dt>\n<\/dl>\n<\/div>\n<p>Col\u00b7locaci\u00f3 de les AK per sostenir l&#8217;AMF i trepanar per posar el material d&#8217;osteos\u00edntes.<\/p>\n<p><a title=\"hallux rigidus tratamiento quirurgico\" href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto5-e1428595941639.jpg\"><img  title=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto5-e1428595941639.jpg\"  alt=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\"  width=\"614\" height=\"413\" \/><\/a><\/p>\n<p>Material d&#8217;osteos\u00edntesi col\u00b7locat, en aquest cas dos cargols creuats..<\/p>\n<p><a title=\"cirugia de hallux rigidus\" href=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto6-e1428595973435.jpg\"><img  title=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\" loading=\"lazy\" decoding=\"async\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto6-e1428595973435.jpg\"  alt=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\"  width=\"371\" height=\"503\" \/><\/a><\/p>\n<p>Fixaci\u00f3 amb placa de la primera AMF<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L&#8217;hallux r\u00edgidus \u00e9s la segona causa m\u00e9s comuna de dolor en l&#8217;articulaci\u00f3 metatarsofal\u00e0ngica del primer dit despr\u00e9s de l&#8217;hallux valgus. Per aix\u00f2, \u00e9s una patologia que trobem freq\u00fcentment a la consulta. Quan el tractament conservador no aconsegueix l&#8217;objectiu de disminuir el dolor i millorar la marxa, hem de proposar al pacient alternatives quir\u00fargiques ajustades el [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":5621,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[287],"tags":[],"class_list":["post-3043","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia-podologica"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"L&#8217;hallux r\u00edgidus \u00e9s la segona causa m\u00e9s comuna de dolor en l&#8217;articulaci\u00f3 metatarsofal\u00e0ngica del primer dit despr\u00e9s de l&#8217;hallux valgus. Per aix\u00f2, \u00e9s una patologia que trobem freq\u00fcentment a la consulta. Quan el tractament conservador no aconsegueix l&#8217;objectiu de disminuir el dolor i millorar la marxa, hem de proposar al pacient alternatives quir\u00fargiques ajustades el [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/old.institutcataladelpeu.com\/ca\/tractament-quirurgic-de-lhallux-rigidus\/\" \/>\n<meta property=\"og:site_name\" content=\"Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/institutcataladelpeu\/\" \/>\n<meta property=\"article:published_time\" content=\"2015-04-09T10:36:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2016-10-18T13:31:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2015\/04\/foto3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"784\" \/>\n\t<meta property=\"og:image:height\" content=\"530\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"GRAU LLOPIS JOS\u00c9 ENRIQUE\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:site\" content=\"@ICPeu\" \/>\n<meta name=\"twitter:label1\" content=\"Escrit per\" \/>\n\t<meta name=\"twitter:data1\" content=\"GRAU LLOPIS JOS\u00c9 ENRIQUE\" \/>\n\t<meta name=\"twitter:label2\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-de-lhallux-rigidus\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-de-lhallux-rigidus\\\/\"},\"author\":{\"name\":\"GRAU LLOPIS JOS\u00c9 ENRIQUE\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#\\\/schema\\\/person\\\/39d558e0d8f62142a5b9b64e4defc8cb\"},\"headline\":\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS\",\"datePublished\":\"2015-04-09T10:36:53+00:00\",\"dateModified\":\"2016-10-18T13:31:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-de-lhallux-rigidus\\\/\"},\"wordCount\":688,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/en\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-de-lhallux-rigidus\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/wp-content\\\/uploads\\\/2015\\\/04\\\/foto3.jpg\",\"articleSection\":[\"Cirurgia podol\u00f2gica\"],\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-de-lhallux-rigidus\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-de-lhallux-rigidus\\\/\",\"url\":\"https:\\\/\\\/old.institutcataladelpeu.com\\\/ca\\\/tractament-quirurgic-de-lhallux-rigidus\\\/\",\"name\":\"TRACTAMENT QUIR\u00daRGIC DE L\u2019HALLUX R\u00cdGIDUS - 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