CHEILECTOMY FOR HALLUX RIGIDUS

Method: Cheilectomy to remove bony spurs at the first metatarsophalangeal joint

Duration: 20 to 40 minutes

Recovery time: 4 to 6 weeks

What is a cheilectomy?

The cheilectomy is a joint-preserving procedure for treating a hallux rigidus (osteoarthritis of the first metatarsophalangeal joint). The aim is to improve the movement of the big toe and relieve pain when rolling off the foot.

Bony spurs (osteophytes) on the upper joint surface of the first metatarsophalangeal joint are removed. These spurs often cause a painful restriction of movement during roll-off and can produce chronic irritation through mechanical friction.

How the operation proceeds

Small incision over the first metatarsophalangeal joint (on the upper side)
Exposure of the joint and assessment of the state of the cartilage
Removal of the dorsal osteophytes (cheilectomy)
Smoothing of the joint margin and removal of loose bodies
Closure of the wound and application of a dressing

Rehabilitation after a cheilectomy

Aftercare following a cheilectomy aims at a rapid restoration of movement and a reduction in pain. Early mobilisation is decisive.

Phase I (0-2 weeks): early mobilisation and reducing swelling

Elevation of the foot, cooling and pain medication
Gentle passive mobilisation exercises for the big toe (under guidance)
A forefoot offloading shoe for the first few days where needed
Wound check and changes of dressing

Phase II (3-6 weeks): functional mobilisation

Active mobilisation of the big toe, for instance with towel-grip exercises
Gait training with a step-by-step build-up of load
Physiotherapy to improve the roll-off movement
Avoiding shoes with a hard sole or a narrow forefoot

Phase III (from week 7): return to everyday loading

Full weight-bearing in everyday life in comfortable, well-cushioned shoes
Long-term exercises for toe movement and stability of the foot
Sporting load (for instance cycling, swimming) once medically cleared
Regular follow-up checks to monitor the state of the joint