Minimally Invasive Cheilectomy for Hallux Rigidus

Hallux metatarsophalangeal joint cheilectomy is a joint-sparing technique that involves resection of the dorsal metatarsal head osteophytes; this may be achieved through minimally invasive and arthroscopic techniques. General indications for minimally invasive surgery (MIS) cheilectomy are mild-to-moderate hallux rigidus (Grades I –II) with symptomatic dorsal osteophytes causing dorsal impingement and/or shoe wear irritation in those who have failed extensive nonoperative management. The literature confirms equivalent outcomes to open cheilectomy; however, it is somewhat inconsistent regarding superiority. The theoretic ben efits of MIS cheilectomy include better cosmesis, reduced wound complications, less soft tissue disruption, and faster recovery.
Source: Foot and Ankle Clinics - Category: Orthopaedics Authors: Source Type: research