Minimally invasive Cheilectomy for Hallux Rigidus using OrthoSolutions system
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A relatively new technique which reduces the post-operative pain ,swelling and scarring resulting from debridement of the 1st Metatarso-phalangeal joint in Hallux Rigidus. Despite these early advantages significant evidence is lacking on any longer term advantage in terms of the outcome of debriding Hallux Rigidus.
Minimally invasive cheilectomy should usually(though not invariably) be combined with an MTP joint arthroscopy
Minimally invasive cheilectomy is of use in two overlapping subsets of patients. The first group are those with more generalised (but milder ) arthritic symptoms , where the intervention is part of a more general minimally invasive joint debridement. The second are those who are suffering with exclusively dorsal impingement symptoms , either as part of an advanced but pain-free arthritic joint or an anatomically prominent dorsal aspect to the metatarsal head.
Author :Mark Herron FRCS (Tr & Orth)
Institution: The Wellington Hospital ,London ,UK.