AUTOGENOUS BONE-GRAFTING OF HALLUX SESAMOID NONUNIONS

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 nonunio ns. Successful bony union was achieved in all but two patients. The ma jority of patients obtained concomitant relief of preoperative symptom atology and returned to their preinjury level of activity. We believe that this procedure serves as an alternative to hallux sesamoid excisi on in selected cases.