Surgical Management of Hallux Rigidus: Cheilectomy and Osteotomy (Phalanx and Metatarsal)

Nicholas R. Seibert, Anish R. Kadakia*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations

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 languageEnglish (US)
Pages (from-to)9-22
Number of pages14
JournalFoot and ankle clinics
Volume14
Issue number1
DOIs
StatePublished - Mar 1 2009

Keywords

  • Cheilectomy
  • Hallux rigidus
  • Management
  • Metatarsal
  • Osteotomy
  • Phalanx

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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