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An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
Published on: February 17, 2018
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Radical Cheilectomy as an Alternative to Arthrodesis for Hallux Rigidus
Steven R Edwards1,2, Andrew C Kingsford1
1Surgery, Australasian College of Podiatric Surgeons, Melbourne, AUS.
Cureus
|September 3, 2020
Summary
A modified cheilectomy surgery for hallux rigidus (HR) offers pain relief and improved function. This radical approach may help patients with end-stage HR who wish to avoid joint fusion.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Rheumatology
Background:
- Hallux rigidus (HR) is a degenerative joint disease affecting the first metatarsophalangeal joint (MTPJ).
- It causes pain, stiffness, and reduced range of motion, significantly impacting quality of life.
- Occupational demands, such as wearing high heels, can exacerbate HR symptoms.
Observation:
- A 42-year-old female with end-stage right hallux rigidus presented with chronic pain and shoe-fitting difficulties.
- Her profession required high-heeled footwear, making joint-preserving treatment desirable.
- She preferred a procedure allowing normal joint motion over fusion (arthrodesis).
Findings:
- A modified cheilectomy with radical first metatarsal head remodeling was performed.
- The procedure achieved up to 90 degrees of intraoperative dorsiflexion.
- Postoperatively, the patient experienced reduced pain and improved function at 12 weeks.
Implications:
- Radical cheilectomy may be a viable surgical option for end-stage hallux rigidus.
- This technique can provide pain relief and functional improvement in select patients.
- It offers an alternative for individuals who decline arthrodesis and wish to maintain joint mobility.
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