Minimally Invasive Cheilectomy for Hallux Rigidus.
| Autor: | Fletcher AN; OrthoCarolina, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207-1222, USA. Electronic address: Amanda.fletcher@orthocarolina.org., Patel V; Department of Orthopaedic Surgery, University of Michigan, 2098 S Main Street, Ann Arbor, MI 48103, USA., Cerrato R; 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. |
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| Jazyk: | angličtina |
| Zdroj: | Foot and ankle clinics [Foot Ankle Clin] 2024 Sep; Vol. 29 (3), pp. 471-484. Date of Electronic Publication: 2024 Mar 21. |
| DOI: | 10.1016/j.fcl.2024.01.003 |
| Abstrakt: | 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. Competing Interests: Disclosure Dr R. Cerrato: Consultant and Royalties with Stryker, Consultant Vilex, Paid speaker Acumed, Board member MIFAS. Dr A. Fletcher and V. Dr Patel have no disclosures. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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