Footnotes / Blog
A Cheilectomy procedure is the most basic surgery for arthritis of the 1st metatarsal phalangeal joint ( The Big Toe Joint). This is called Hallux Rigidus/Limitus. It also has the fastest recovery time of the procedures for this ailment.
Arthritis in the big toe joint can develop for various reasons. It isn’t always known why one person may develop arthritis and someone else doesn’t.
What exactly is a Cheilectomy?
A first metatarsal phalangeal joint cheilectomy removes bone spurs on the top surface of the big toe joint bones. These develop with arthritis of the big toe, and spurs act as a mechanical block to motion, which causes pain.
The goal of this procedure is to remove the painful bony lump that develops around the big toe joint and increase the range of motion in this joint. This will hopefully alleviate pain that the patient is experiencing.
Who should have this procedure?
Patients who have Big Toe Joint arthritis and have failed conservative treatment may consider this procedure. Arthritis that has not progressed to more severe stages has the best outcomes with a cheilectomy.
Who should not have this procedure?
Patient with severe arthritis in the first metatarsal phalangeal joint may need a more invasive procedure such as a joint fusion or an implant. Your podiatrist will discuss this with you after examining your foot and studying your Xrays.
What is the recovery from a Cheilectomy?
After the surgery your doctor will place you into a soft bandage and a surgical shoe which you may walk in. You are encouraged to rest and elevate your foot for 2-3 days after surgery. Sutures are typically removed at the 2 week post operative visit. You are then transitioned to a sneaker and encouraged to move your big toe joint to prevent scar tissue formation.
Risks
As with any surgery, risks include complications with anesthesia, infection, painful scar, or continued pain after the surgery.
If you have painful arthritis in your big toe joint, visit one of the licensed podiatrists at Innovative Foot and Ankle. We have four locations throughout northern New Jersey.