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Minimally Invasive Cheilectomy for the Treatment of Grade I to III Hallux Rigidus: A Prospective Study Reporting on Early Patient Outcome

Pastides, Philip S. MRCS, MSc (Orth Eng); El-Sallakh, Sameh MS Orth, MCh Orth; Charalambides, Charalambos MD, FRCS (Trauma & Ortho)

Techniques in Foot & Ankle Surgery: June 2014 - Volume 13 - Issue 2 - p 98–102
doi: 10.1097/BTF.0000000000000032

Hallux rigidus is a benign condition that can cause significant restriction of everyday activities. A total of 41 patients (54 feet) with grade I to III hallux rigidus underwent minimally invasive cheilectomy over a 20-month period. Outcomes were quantified using the American Orthopaedic Foot and Ankle Society Hallux Metatarso-Interphalangeal (AOFAS-HMI) scoring system. At 6 weeks, AOFAS-HMI scores improved from 71.2 to 88.2 (P<0.001). Mean follow-up AOFAS-HMI scores at 17 months (range, 6 to 30 mo) was 87.1. Improvements were noted in pain, function, footwear, and range of movement (P<0.002). Most of the patients returned to clinic in their own shoes at 2 weeks and all of them at 6 weeks. Thirty patients (73%) had returned to some sporting activities by 6 weeks. Minimally invasive cheilectomy is a joint-preserving procedure that produces good short-term and mid-term results. We advocate the use of this procedure in patients with grade I to III hallux rigidus and no pain during mid range of movement.

*The Whittington Hospital, London, UK

Department of Orthopaedic Surgery, Tanta University Hospital, Tanta, Egypt

The authors declare no conflict of interest.

Address correspondence and reprint requests to Philip S. Pastides, MRCS, MSc (Orth Eng), The Whittington Hospital, Magdala Avenue, London N19 5NF, UK. E-mail:

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