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Dorsal Cheilectomy.

Aaron T Scott1

  • 1Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Watlington Hall, 4th Floor, 1 Medical Center Boulevard, Winston-Salem, NC 27157, USA.

Foot and Ankle Clinics
|July 27, 2024
PubMed
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Dorsal cheilectomy, a surgical removal of bone spurs in hallux rigidus, offers a simple, quick procedure that preserves joint motion. It boasts low complication rates and faster recovery, making it a viable option even for more advanced cases.

Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Surgical Innovation

Background:

  • Hallux rigidus is a degenerative condition affecting the first metatarsophalangeal joint.
  • Dorsal osteophyte formation is a common characteristic of hallux rigidus.
  • Current treatments aim to alleviate pain and restore joint function.

Purpose of the Study:

  • To evaluate the efficacy and advantages of dorsal cheilectomy for hallux rigidus.
  • To highlight the benefits of this surgical approach in managing first metatarsophalangeal joint osteoarthritis.
  • To assess the suitability of dorsal cheilectomy for a broader range of hallux rigidus severity.

Main Methods:

  • Surgical resection of the dorsal osteophyte from the first metatarsal head.
  • Procedure performed on patients with hallux rigidus and minimal midrange joint pain.
Keywords:
ArthritisDorsal cheilectomyHallux rigidusMetatarsophalangeal joint

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  • Focus on maintaining first metatarsophalangeal joint range of motion.

    • Main Results:

    • Dorsal cheilectomy is a simple and rapid surgical technique.
    • The procedure effectively preserves the range of motion of the first metatarsophalangeal joint.
    • Associated with low morbidity and a quicker postoperative recovery period.
    • Avoids the need for costly implants and does not preclude future fusion (arthrodesis).

    Conclusions:

    • Dorsal cheilectomy presents a favorable risk-benefit profile for hallux rigidus.
    • Its advantages include simplicity, speed, motion preservation, and low complication rates.
    • The procedure is advocated as a potentially effective treatment, even in cases with more extensive disease.