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Related Experiment Videos

Hallux rigidus: cheilotomy or implant?

N Gould

    Foot & Ankle
    |May 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Hallux rigidus surgery using cheilotomy or silicone implant offers excellent results, significantly reducing pain and improving toe motion. Patients return to activities and can wear regular shoes, with no implant complications reported.

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    Area of Science:

    • Orthopedic Surgery
    • Podiatric Medicine
    • Biomaterials Science

    Background:

    • Hallux rigidus is a common degenerative condition affecting the first metatarsophalangeal joint.
    • Symptomatic hallux rigidus can significantly impair quality of life and mobility.
    • Surgical intervention is often considered for moderate to severe cases unresponsive to conservative treatment.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of surgical interventions for symptomatic hallux rigidus.
    • To compare the results of cheilotomy and single-stem silicone implant arthroplasty in different patient populations.
    • To assess long-term patient satisfaction, functional recovery, and complication rates.

    Main Methods:

    • A retrospective review of 42 patients (51 feet) undergoing surgical treatment for hallux rigidus.

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  • Procedures included cheilotomy (for younger patients) and single-stem silicone implant arthroplasty (for older patients with advanced arthritis).
  • Follow-up was conducted over a 2-year period, assessing pain, range of motion, functional status, and footwear.

    • Main Results:

    • Excellent surgical outcomes were reported in all operated feet.
    • Significant pain reduction was observed within 3 months postoperatively.
    • Increased range of motion in dorsiflexion and return to pre-diagnosis activity levels were noted.
    • All patients could wear off-the-shelf footwear without issue.
    • No fractures or inflammatory reactions related to silicone implants were observed, even in implants placed over 4 years prior.

    Conclusions:

    • Both cheilotomy and silicone implant arthroplasty are effective surgical options for hallux rigidus.
    • These procedures lead to substantial pain relief, improved joint function, and restoration of patient activities.
    • The durability and safety of silicone implants are supported by the absence of complications in this cohort.