Abstract
Cheilectomy has long been the standard treatment in the orthopedic community for mild to moderate cases of hallux rigidus, with established long-term excellent results. Osteotomies of the proximal phalanx and first metatarsal have been described mainly in the podiatric literature; they have shown good outcomes in small patient groups with short-term follow-up. Proper patient selection is critical to obtaining favorable outcomes with any of the joint-sparing procedures. Patients with severe arthritic changes and pain in the midrange arc of motion have poorer outcomes with these procedures and are better served with joint-destructive procedures, such as arthroplasty or arthrodesis.
Original language | English (US) |
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Pages (from-to) | 9-22 |
Number of pages | 14 |
Journal | Foot and ankle clinics |
Volume | 14 |
Issue number | 1 |
DOIs | |
State | Published - Mar 1 2009 |
Keywords
- Cheilectomy
- Hallux rigidus
- Management
- Metatarsal
- Osteotomy
- Phalanx
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine