Foot and ankle clinics | 2015 | Warganich T, Harris T
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[Indexed for MEDLINE] 18. Foot Ankle Clin. 2024 Sep;29(3):471-484. doi: 10.1016/j.fcl.2024.01.003. Epub 2024 Mar 21. Minimally Invasive Cheilectomy for Hallux Rigidus. Fletcher AN(1), Patel V(2), Cerrato R(3). Author information: (1)OrthoCarolina, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207-1222, USA. Electronic address: Amanda.fletcher@orthocarolina.org. (2)Department of Orthopaedic Surgery, University of Michigan, 2098 S Main Street, Ann Arbor, MI 48103, USA. (3)Mercy Medical Center, Baltimore, The Institute for Foot and Ankle Reconstruction, 301 St Paul Place, Institute for Foot and Ankle Reconstruction At Mercy, Baltimore, MD 21202, USA. 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 benefits of MIS cheilectomy include better cosmesis, reduced wound complications, less soft tissue disruption, and faster recovery. Copyright © 2024 Elsevier Inc. All rights reserved. DOI: 10.1016/j.fcl.2024.01.003
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