title: Open, Arthroscopic, and Percutaneous Cheilectomy for Hallux Rigidus.
abstract: Cheilectomy consists of excision of the dorsal exostosis and part of the metatarsal head. It is typically performed for patients in the earlier stages of hallux rigidus presenting with dorsal pain and dorsiflexion stiffness in the absence of through-range symptoms, rest pain, and plantar pain and with negative result on grind test. If joint motion-preserving surgery is appropriate, then cheilectomy is generally considered to be the first-line surgical choice. In addition to the standard open technique, minimally invasive surgery in the form of either percutaneous or arthroscopic surgery is available. The indications, surgical techniques, and outcomes are discussed.
authors: North Bristol NHS Trust, Bristol, BS10 5NB, UK.
authors: Richard
authors: R
authors: Walter
authors: Foot and Ankle Clinic, Spire Cardiff Hospital, Croescadarn Road, Cardiff, CF23 8Xl, UK. Electronic address: footandanklesurgery@gmail.com.
authors: Anthony
authors: A
authors: Perera
mesh_terms: D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D001182:Arthroscopy / Q000379:methods*; D003646:Debridement / Q000379:methods; D005260:Female; D020859:Hallux Rigidus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D019637:Orthopedic Procedures / Q000379:methods*; D010147:Pain Measurement; D018579:Patient Selection; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: Arthroscopic; Cheilectomy; Hallux rigidus; Minimally invasive; Percutaneous