The role of cheilectomy in the treatment of hallux rigidus.
The aim of this study was to evaluate and compare the outcome of cheilectomy for patients with grades 1, 2, and 3 hallux rigidus according to Regnauld's classification. We evaluated 39 patients at a mean of 3.8 years after surgery for pre- versus postoperative changes in pain, activity level, difficulties with footwear, tiptoe walking, and metatarsophalangeal joint range of motion. We used Wilcoxon paired rank tests to compare outcomes for each grade of hallux rigidus. There was significant improvement (p < 0.05) in pain, activity level, tiptoe walking, and range of motion for all three grades of hallux rigidus. Footwear selection was significantly improved in Grades 1 and 2 patients but not in patients with Grade 3 hallux rigidus.
Mackay
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DC
Orthopaedic Department, Stobhill Hospital, Glasgow, UK.
Blyth
M
M
Rymaszewski
L A
LA
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006214:Hallux / Q000503:physiopathology*; D006801:Humans; D007592:Joint Diseases / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008683:Metatarsophalangeal Joint / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000601:surgery; D013640:Tarsal Joints / Q000601:surgery*