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Hallux rigidus: treatment by cheilectomy
1University of Texas Health Science Center, Houston 77030.
The Journal of Bone and Joint Surgery. American Volume
|March 1, 1988
Summary
Cheilectomy surgery for hallux rigidus effectively relieved pain and improved joint motion in most patients. This procedure offers a favorable alternative to other surgical treatments for this condition.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Surgical Innovation
Background:
- Hallux rigidus is a degenerative condition affecting the first metatarsophalangeal joint, characterized by stiffness and pain.
- Current treatments for hallux rigidus include arthrodesis, resection arthroplasty, and flexible implant arthroplasty, each with limitations.
Purpose of the Study:
- To evaluate the efficacy of cheilectomy in treating hallux rigidus.
- To assess pain relief, joint motion improvement, and complication rates following cheilectomy.
Main Methods:
- Cheilectomy, involving the excision of an irregular osseous rim, was performed on the distal first metatarsal.
- Twenty-five patients diagnosed with hallux rigidus underwent the procedure.
- Outcomes were assessed based on pain relief, joint range of motion, complications, and need for revision surgery.
Main Results:
- Significant pain relief was achieved in 22 out of 25 patients (88%).
- Average improvement in joint motion was 20 degrees, with 23 patients achieving an acceptable range.
- Persistent swelling was the most common complication, affecting six patients; no other significant complications were reported.
Conclusions:
- Cheilectomy is a highly effective surgical option for hallux rigidus, offering substantial pain relief and functional improvement.
- The procedure demonstrates a favorable safety profile with minimal complications and no requirement for further surgery in the long term.
- Cheilectomy appears superior to arthrodesis, resection arthroplasty, and flexible implant arthroplasty for treating hallux rigidus.