--- title: "Valenti arthroplasty in athletes with hallux limitus-rigidus | Sutter Health" description: "Modified Valenti procedure is a safe, highly effective treatment for running and jumping athletes limited by hallux limitus/rigidus." url: "https://www.sutterhealth.org/research/publications/valenti-arthroplasty-in-athletes-with-hallux-limitus-rigidus-1055312357" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Valenti arthroplasty in athletes with hallux limitus-rigidus # Modified Valenti arthroplasty in running and jumping athletes with hallux limitus/rigidus: analysis of one hundred procedures. Saxena A, Valerio DL, Behan SA, & Hofer D. _J Foot Ankle Surg. pii: S1067-2516(18)30285-0. doi: 10.1053/j.jfas.2018.07.009. \[Epub ahead of print\]_ 2018-12-12 ## 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. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/30553745) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Musculoskeletal Disorders](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Musculoskeletal+Disorders%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Birth and evolution of chiselling and drilling techniques for removing ear canal exostoses.](https://www.sutterhealth.org/research/publications/chiseling-drilling-techniques-remove-ear-exostoses-1055312313) Mudry A, Hetzler D. Otol Neurotol. 37(1):109-114. 2016 Jan 01 - Publication ### [Clinically relevant effectiveness of focused extracorporeal shock wave therapy in the treatment of chronic plantar fasciitis: a randomized, controlled multicenter study.](https://www.sutterhealth.org/research/publications/extracorporeal-shock-wave-tx-plantar-fasciitis-1055312428) Gollwitzer H, Saxena A, DiDomenico LA, Galli L, Bouché RT, Caminear DS, Fullem B, Vester JC, Horn C, Banke IJ, Burgkart R, Gerdesmeyer L. J Bone Joint Surg Am. 97(9):701-8. doi: 10.2106/JBJS.M.01331. 2015 May 06 - Publication ### [Subtalar arthroereisis implant removal in adults: a prospective study of 100 patients.](https://www.sutterhealth.org/research/publications/subtalar-arthroereisis-implant-removal-adults-1055312370) Saxena A, Via AG, Maffulli N, Chiu H. J Foot Ankle Surg. pii: S1067-2516(15)00577-3. doi: 10.1053/j.jfas.2015.12.005. \[Epub ahead of print\] 2016 Feb 10 - Publication ### [Current evidence of extracorporeal shock wave therapy in chronic Achilles tendinopathy.](https://www.sutterhealth.org/research/publications/extracorporeal-shock-wave-tx-achilles-tendinopathy-1055312410) Gerdesmeyer L, Mittermayr R, Fuerst M, Al Muderis M, Thiele R, Saxena A, Gollwitzer H. Int J Surg. 24(Pt B):154-9. doi: 10.1016/j.ijsu.2015.07.718. Epub 2015 Aug 29. 2015 Dec 01 - Publication ### [Association of short-term complications with procedures through separate incisions during total ankle replacement.](https://www.sutterhealth.org/research/publications/short-term-complications-sep-incisions-tar-1055312445) Criswell B, Hunt K, Kim T, Chou L, Haskell A. Foot Ankle Int. pii: 1071100716651964. \[Epub ahead of print\] 2016 Jun 08 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/valenti-arthroplasty-in-athletes-with-hallux-limitus-rigidus-1055312357#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Valenti arthroplasty in athletes with hallux limitus-rigidus"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/valenti-arthroplasty-in-athletes-with-hallux-limitus-rigidus-1055312357#medicalscholarlyarticle","name":"Modified Valenti arthroplasty in running and jumping athletes with hallux limitus/rigidus: analysis of one hundred procedures.","headline":"Valenti arthroplasty in athletes with hallux limitus-rigidus","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 \u003c20°, 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.","description":"Modified Valenti procedure is a safe, highly effective treatment for running and jumping athletes limited by hallux limitus/rigidus.","keywords":["Disease Management","Musculoskeletal Disorders"],"datePublished":"2018-12-12","url":"https://www.sutterhealth.org/research/publications/valenti-arthroplasty-in-athletes-with-hallux-limitus-rigidus-1055312357","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"PMID","value":"30553745"},{"@type":"PropertyValue","propertyID":"DOI","value":"10.1053/j.jfas.2018.07.009"}],"sameAs":["https://pubmed.ncbi.nlm.nih.gov/30553745/","https://doi.org/10.1053/j.jfas.2018.07.009"],"isPartOf":{"@type":"Periodical","name":"J Foot Ankle Surg"},"author":[{"@type":"Person","name":"Saxena A"},{"@type":"Person","name":"Valerio DL"},{"@type":"Person","name":"Behan SA"},{"@type":"Person","name":"Hofer D"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Musculoskeletal Disorders","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Musculoskeletal+Disorders%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/valenti-arthroplasty-in-athletes-with-hallux-limitus-rigidus-1055312357","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/valenti-arthroplasty-in-athletes-with-hallux-limitus-rigidus-1055312357#breadcrumblist"}}} ```