[en] Hallux rigidus is a condition that affects the joint of the first toe, characterized by stiffness and limited movement. Arthroscopy has been used as a surgical technique to treat this condition through minimally invasive procedures. Although it has been observed that arthroscopy can alleviate pain, improve function, and delay the progression of hallux rigidus, its efficacy has not yet been conclusively established. Objectives: The objective of this systematic review is to analyze the use of arthroscopy in the treatment of hallux rigidus to evaluate pain reduction and increased functionality of the first toe in patients undergoing arthroscopic techniques. Methodology: An exhaustive search was conducted in the PubMed, Web of Science, and Scopus databases from February to March 2023. The guidelines of the PRISMA guide were followed, and JBI (Joanna Briggs Institute) scales were used to assess the quality and risk of bias in the selected studies. Results: This systematic review included 7 articles involving a total of 138 patients with hallux rigidus. The quality of the studies was considered moderate, with a moderate risk of bias. The majority of patients were female (62.3%) with an average age of 48.3 years. Different arthroscopy-assisted surgical techniques were employed, with arthroscopic dorsal cheilectomy being the most frequently used (63.7%). The average follow-up period was 22.8 months. A significant increase in range of motion was observed after surgery, with improvements of 31.6 degrees for arthroscopic cheilectomy, 38 degrees for arthroscopic debridement, and 51 degrees for percutaneous debridement. Patients experienced improvement in pain and functionality according to the AOFAS, EVA, and VPS scales. Additionally, the majority of patients reported high levels of satisfaction and would be willing to undergo the same surgery again. Conclusions: Arthroscopic surgery has demonstrated to be effective in the treatment of hallux rigidus, improving movement, pain, and foot functionality compared to conventional surgical techniques. Surgeon skill and preoperative evaluation of the patient play a crucial role in the success of the intervention and the occurrence of postoperative complications. Prospective studies with a solid methodology and an adequate sample size are needed to confirm the efficacy and safety of arthroscopic surgery in the treatment of hallux rigidus compared to traditional open surgery techniques.

[gl] O hallux rigidus é unha patoloxía que afecta a articulación do primeiro dedo do pé, caracterizada pola rixidez e a limitación do movemento. A artroscopia utilizouse como técnica cirúrxica para tratar esta condición mediante procedementos mínimamente invasivos. Aínda que se observou que a artroscopia pode aliviar a dor, mellorar a función e retrasar a progresión do hallux rigidus, a súa eficacia aínda non foi establecida de maneira concluínte. Obxectivos: O obxectivo desta revisión sistemática é analizar o uso da artroscopia no tratamento do hallux rigidus para avaliar a redución da dor e o aumento da funcionalidade do primeiro dedo do pé en pacientes sometidos a técnicas artroscópicas. Metodoloxía: Realizouse unha busca exhaustiva nas bases de datos PubMed, Web of Science e Scopus durante os meses de febreiro e marzo de 2023. Seguíronse as directrices da guía PRISMA e empregáronse escalas JBI (Joanna Briggs Institute) para avaliar a calidade e o risco de sesgo dos estudos seleccionados. Resultados: Nesta revisión sistemática incluíronse 7 artigos que implicaban un total de 138 pacientes con hallux rigidus. A calidade dos estudos foi considerada moderada, cun risco moderado de sesgo. A maioría dos pacientes eran mulleres (62,3%) cunha idade media de 48,3 anos. Empregáronse diversas técnicas cirúrxicas asistidas por artroscopia, sendo a queilectomía dorsal artroscópica a máis frecuentemente utilizada (63,7%). O período de seguimento medio foi de 22,8 meses. Observouse un aumento significativo no rango de movemento despois da cirurxía, con melloras de 31,6 graos para a queilectomía artroscópica, 38 graos para o desbridamento artroscópico e 51 graos para o desbridamento percutáneo. Os pacientes experimentaron unha mellora na dor e na funcionalidade segundo as escalas AOFAS, EVA e VPS. Ademais, a maioría dos pacientes informaron altos niveis de satisfacción e estarían dispostos a someterse de novo á mesma cirurxía. Conclusións: A cirurxía artroscópica demostrou ser eficaz no tratamento do hallux rigidus, mellorando o movemento, a dor e a funcionalidade do pé en comparación coas técnicas cirúrxicas convencionais. A destreza do cirurxián e a avaliación prequirúrxica do paciente desempeñan un papel crucial no éxito da intervención e na aparición de complicacións postoperatorias. Requírense estudos prospectivos cunha metodoloxía sólida e unha mostra adecuada para confirmar a eficacia e seguridade da cirurxía artroscópica no tratamento do hallux rigidus en comparación coas técnicas tradicionais por ciruxía aberta.