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Erschienen in:
18.05.2020 | Original Article
Intermediate-term results of isolated minimally invasive arthroscopic cheilectomy in the treatment of hallux rigidus
Erschienen in: European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 7/2020
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Aim
The aim of this study was to determine the intermediate-term results of minimally invasive cheilectomy of the first MTPJ using a high-torque low-speed burr and arthroscopic debridement.
Methods
A consecutive series of patients who underwent isolated unilateral minimally invasive cheilectomy of the first MTPJ were contacted by telephone. A questionnaire was used to assess patient satisfaction and complications. Patients with less than 2 years of follow-up were excluded.
Results
Thirty-six patients completed the study. Mean patient age at time of surgery was 50.0 years (range 24.5–67.0). Mean follow-up was 4.69 years (range 2.0–7.3). Thirty patients (83%) reported they would recommend the procedure. Mean postoperative improvement in pain was 69% (range 0–100). Twenty-seven (84%) of patients reported either no pain (28%) or mild pain (56%). For patients who reported any pain, the mean pain experienced was rated as 3.4 out of 10 (range 1–9). Twenty-nine (81%) patients reported they could wear a ‘fashionable’ shoe postoperatively. One patient experienced a delayed rupture of the extensor hallucis longus at 6 months postsurgery. One patient underwent further arthroscopic cheilectomy. No patient required conversion to fusion of the first MTPJ.
Conclusion
Minimally invasive cheilectomy of the first MTPJ using high-torque low-speed burr and arthroscopic debridement results in high patient satisfaction with a low rate of complications at intermediate follow-up.