Autogenous bone grafting of hallux sesamoid nonunions

Anderson, Robert B.<sup>1</sup>; McBryde, Jr, Angus M.<sup>2</sup>

Affiliations

¹Foot & Ankle Service, Miller Orthopaedic Clinic, Carolinas Medical Center, 1001 Blythe Boulevard, Suite 200, Charlotte, North Carolina 28203

²Medical University of South Carolina, 171 Ashley Drive, Room 708 CSB, Charleston, South Carolina 29425

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.

Links

DOI: 10.1177/107110079701800509

PubMed: 9167930

WoS: A1997XA88000009

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Cited By (11)

Year	Entry
2008	Anderson RB, Shawen SB. Great-toe disorders. In: Porter DA, Schon LC, eds. Baxter's the Foot and Ankle in Sport. 2nd ed. Philadelphia, PA: Mosby-Elsevier; 2008:chap 18.412-433.
2014	Cooper MT. Stress fractures of the foot and ankle. In: Philbin TM, ed. Sports Injuries of the Foot: Evolving Diagnosis and Treatment. New York, NY: Springer; 2014:105-128.
2014	Simpson GA, Berlet GC. Bunions in athletes. In: Philbin TM, ed. Sports Injuries of the Foot: Evolving Diagnosis and Treatment. New York, NY: Springer; 2014:35-48.
2016	Melton W, Jackson JB III. Stress fractures of the foot and ankle. In: Valderrabano V, Easley M, eds. Foot and Ankle Sports Orthopaedics. Cham, Switzerland: Springer International Publishing; 2016:61-169.
2007	Farber DC. Foot injuries in the sports population. Curr Opin Orthop. 2007;18(2):97-101.
2017	York PJ, Wydra FB, Hunt KJ. Injuries to the great toe. Curr Rev Musculoskel Med. March 2017;10(1):104-112.
2023	Gupta A, Singh PK, Xu AL, Bronheim RS, McDaniel CM, Aiyer AA. Turf toe injuries in the athlete: an updated review of treatment options, rehabilitation protocols, and return-to-play outcomes. Curr Rev Musculoskel Med. November 2023;16(11):563-574.
2009	McCormick JJ, Anderson RB. The great toe: failed turf toe, chronic turf toe, and complicated sesamoid injuries. Foot and Ankle Clinics. June 2009;14(2):135-150.
1999	Richardson EG. Hallucal sesamoid pain: causes and surgical treatment. J Am Acad Orthop Surg. 1999;7(4):270-278.
2015	Drakos MC, Fiore R, Murphy C, DiGiovanni CW. Plantar-plate disruptions: "the severe turf-toe injury": three cases in contact athletes. J Athl Train. May 2015;50(5):553-560.
2010	Hunt KJ, McCormick JJ, Anderson RB. Management of forefoot injuries in the athlete. Operative Tech Sports Med. March 2010;18(1):34-45.