Cheilectomy

Cheilectomy is a surgical procedure aimed at relieving pain and improving the range of motion in the big toe, which is often compromised due to conditions such as hallux rigidus, a form of degenerative arthritis. This operation involves the removal of bone spurs and a portion of the foot bone to allow for better movement and to alleviate discomfort. Cheilectomy is considered when conservative treatments, such as medication, physical therapy, and shoe modifications, have failed to provide adequate relief.

Indications

The primary indication for a cheilectomy is hallux rigidus, characterized by stiffness and pain in the big toe due to arthritis. Patients typically experience difficulty in walking, reduced range of motion, and pain that worsens with activity. The procedure is recommended for individuals who have not responded to non-surgical treatments and whose quality of life is significantly affected by the condition.

Procedure

A cheilectomy is performed under local or general anesthesia. The surgeon makes an incision over the big toe joint and carefully removes the bone spurs along with a portion of the metatarsal bone to create more space for the toe to move. The goal is to preserve as much of the joint as possible, enhancing mobility while reducing pain. The operation typically takes about an hour, and patients can often go home the same day.

Recovery

Recovery from a cheilectomy varies among patients but generally involves a period of rest, elevation of the foot, and limited walking with the aid of crutches or a special boot. Physical therapy may be recommended to restore strength and flexibility to the toe. Most patients can resume normal activities within a few weeks, although full recovery may take several months. It is crucial for patients to follow their surgeon's post-operative instructions to ensure the best possible outcome.

Risks and Complications

As with any surgical procedure, cheilectomy carries risks, including infection, nerve damage, and the possibility of continued pain if the arthritis progresses. There is also a risk that the range of motion in the toe will not significantly improve or could worsen. Patients should discuss the potential risks and benefits of the surgery with their healthcare provider to make an informed decision.

Conclusion

Cheilectomy offers a surgical option for patients with hallux rigidus seeking relief from pain and improved mobility in the big toe. While the procedure has a high success rate, it is important for patients to have realistic expectations and to consider the potential risks. Early diagnosis and treatment of hallux rigidus can help prevent the need for surgery, so individuals experiencing symptoms should consult a healthcare professional promptly.