title: Pain after cheilectomy of the first metatarsophalangeal joint: diagnosis and management.
abstract: Cheilectomy is commonly performed for osteoarthritis of the first metatarsophalangeal joint and generally has a successful outcome and high rate of patient satisfaction over the short to medium term. Despite the relatively good results achieved in most cases, a proportion of patients have ongoing pain after cheilectomy. This article outlines the potential causes of ongoing pain, including progression of osteoarthritis, neuralgic symptoms, and transfer metatarsalgia. Management strategies for treating the ongoing symptoms are discussed.
authors.affiliation: Department of Orthopaedic Surgery, Mercy Ascot Hospitals, Counties Manukau Health, Private Bag 93311, Otahuhu, Auckland, New Zealand. Electronic address: mtomlinson@middlemore.co.nz.
authors.forename: Matthew
authors.initials: M
authors.lastname: Tomlinson
mesh_terms: D001174:Arthrodesis; D020859:Hallux Rigidus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D037061:Metatarsalgia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D019637:Orthopedic Procedures / Q000009:adverse effects*; D011859:Radiography
keywords: Cheilectomy; Complications; First metatarsophalangeal arthrodesis; First metatarsophalangeal joint; Hallux rigidus; Postoperative pain; Revision surgery