Cheilectomy With Decompression Osteotomy for Treatment of Hallux Limitus and Rigidus: A Retrospective Study With 5-Year Outcomes

Cheilectomy and the Shortening PelCO for the Treatment of Low-grade Hallux Rigidus

“…27 However, Cullen et al 30 have recently demonstrated that within the first 5 postoperative years, 1MT decompression osteotomy resulted in a lower rate of revision surgery than cheilectomy. Shields et al 18 showed similar outcomes when evaluating 94 patients at a minimum follow-up of 5 years.…”

“…2 Surgical treatments can be divided into joint-sparing and joint-sacrificing procedures. 3,4 Joint preservation procedures have shown good-to-excellent clinical outcomes, including cheilectomy, [5][6][7][8][9] interpositional arthroplasty, [10][11][12] distal metatarsal osteotomies, [13][14][15][16][17][18][19] and phalangeal osteotomies. 20,21 Fixation procedures continues to be the main indication for high-grade hallux rigidus.…”

“…28 Recently, some authors showed a higher reoperation and complication rate when doing a minimally invasive cheilectomy than the same open technique. 29 First metatarsal (1MT) shortening 13,14,[16][17][18][19]30 osteotomies are indicated in low-grade hallux rigidus. In an evidence-based literature review, 27 some authors showed a recommendation (C) for intervention for osteotomies and incomplete data (I) for cheilectomy associated with osteotomy.…”

“…First metatarsal (1MT) shortening 13,14,16–19,30 osteotomies are indicated in low-grade hallux rigidus. In an evidence-based literature review, 27 some authors showed a recommendation (C) for intervention for osteotomies and incomplete data (I) for cheilectomy associated with osteotomy 27 .…”