Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 479-487 , September 2010

Outcomes after Cheilectomy with Phalangeal Dorsiflexory Osteotomy for Hallux Rigidus: A Systematic Review

  • Thomas S. Roukis, DPM, PhD, FACFAS

      Affiliations

    • Attending Staff, Department of Orthopaedics, Podiatry, and Sports Medicine, Gundersen Lutheran Healthcare System, La Crosse, WI
    • Corresponding Author InformationAddress correspondence to: Thomas S. Roukis, DPM, PhD, FACFAS, Department of Orthopaedics, Podiatry, and Sports Medicine, Gundersen Lutheran Healthcare System, 2nd Floor Founders Bldg, 1900 South Ave, La Crosse, WI 54601.

References 

  1. Shereff MJ, Baumhauer JF. Current concepts review: hallux rigidus and osteoarthrosis of the first metatarsophalangeal joint. J Bone Joint Surg Am. 1998;80(6):898–908
  2. Coughlin MJ, Shurnas PS. Hallux rigidus: demographics, etiology, and radiographic assessment. Foot Ankle Int. 2003;24(10):731–743
  3. Beeson P. The surgical treatment if hallux limitus/rigidus: a critical review of the literature. The Foot. 2004;14(1):6–22
  4. Yee G, Lau J. Current concepts review: hallux rigidus. Foot Ankle Int. 2008;29(6):637–646
  5. McMaster MJ. The pathogenesis of hallux rigidus. J Bone Joint Surg Br. 1978;60(1):82–87
  6. Drago JJ, Oloff L, Jacobs AM. A comprehensive review of hallux limitus. J Foot Surg. 1984;23(3):213–220
  7. Camasta CA. Hallux limitus and hallux rigidus: clinical examination, radiographic findings, and natural history. Clin Podiatr Med Surg. 1996;13(3):423–448
  8. Roukis TS, Dawson DM, Erdmann BB, Jacobs PM, Ringstrom JB. A prospective comparison of clinical, radiographic, and intra-operative features of hallux limitus and hallux rigidus. J Foot Ankle Surg. 2002;4(2):76–95
  9. Coughlin MJ, Shurnas PS. Hallux rigidus: grading and long-term results of operative treatment. J Bone Joint Surg Am. 2003;85(11):2072–2088
  10. Roukis TS. Metatarsus primus elevatus in hallux rigidus: fact or fiction?. J Am Podiatr Med Assoc. 2005;95(3):221–228
  11. Beresford S. Hallux Limitus/Hallux Rigidus: An Evaluation and Critical Review of the Aetiology of Hallux Limitus/Hallux Rigidus [Dissertation No. 20086344]. Division of Podiatry, Centre for Healthcare Education, Faculty of Applied Science, University of Northampton School of Medicine, Northampton, United Kingdom. Available at: http://www2.northampton.ac.uk/pls/portal/docs/1/1175803.PDF. Accessed March 1, 2010.
  12. Roukis TS, Dawson D, Erdmann BB, Jacobs PM, Ringstrom JB. A prospective comparison of clinical, radiographic, and intra-operative features of hallux limitus and hallux rigidus: short-term follow-up and analysis. J Foot Ankle Surg. 2002;41(3):158–165
  13. Roukis TS, Ringstrom JB, Landsman AS, Wuenschel M, Kirschner P. Distally-based capsule-periosteal interposition arthroplasty for hallux rigidus: indications, operative technique, and short-term follow-up. J Am Podiatr Med Assoc. 2003;93(5):349–366
  14. Uddin A. A Review of the Literature: The Importance of the First Metatarsal-Phalangeal Joint and the Surgical Procedures for Hallux Limitus/Rigidus [Dissertation No. 20153280]. Division of Podiatry, Centre for Healthcare Education, Faculty of Applied Science, University of Northampton School of Medicine, Northampton, United Kingdom. Available at: http://www2.northampton.ac.uk/pls/portal/docs/1/3169830.PDF. Accessed June 14, 2009.
  15. Nagraba Ł, Stolarczyk A, Nogal M, Mitek T, Deszcyński J. Hallux rigidus: etiology, clinical presentation and methods of treatment-literature review. Arthroscopy J Surg. 2008;4(2):17–30
  16. Mann RA, Coughlin MJ, DuVries HL. Hallux rigidus: a review of the literature and a method of treatment. Clin Orthop. 1979;142:57–63
  17. Bonney G, MacNab I. Hallux valgus and hallux rigidus: a critical survey of operative results. J Bone Joint Surg Br. 1952;34(3):366–385
  18. Kessel L, Bonney G. Hallux rigidus in the adolescent. J Bone Joint Surg Br. 1958;40(4):668–673
  19. Heaney SH. “Phalangeal osteotomy for hallux rigidus.” Presented at the Scientific Societies and Regional Orthopaedic Clubs: Scottish Orthopaedic Club. Proceedings and Reports of Universities Colleges, Councils, and Associations. J Bone Joint Surg Br. 1970;52(4):799
  20. Harrison M. Hallux limitus. Presented at the Canadian Dewar Orthopaedic Club 13th Annual Meeting 12-17 March 1971. Proceedings and Reports of Universities Colleges, Councils, and Associations. J Bone Joint Surg Br 53(4):772, 1971.
  21. Moberg E. A simple operation for hallux rigidus. Clin Orthop. 1979;142:55–56
  22. Citron N, Neil M. Dorsal wedge osteotomy of the proximal phalanx for hallux rigidus. J Bone Joint Surg Br. 1987;69(5):835–837
  23. Barouk LS. Osteotomies of the great toe. J Foot Surg. 1992;31(4):388–399
  24. Desai VV, Zafiropoulos G, Dias JJ, Henry APJ. Hallux rigidus: a case against joint destruction. Presented at the British Orthopaedic Foot Surgery Society Meeting, 12 November 1993. J Bone Joint Surg Br 76(suppl 2, 3):95, 1994. Available at: http://www.bofas.org.uk/ProfessionalArea/PreviousMeetingsInformation/ArchiveofAbstracts/tabid/68/Default.aspx. Accessed March 15, 2010.
  25. Gusman DN, Messmer TE. Newell decompression procedure for hallux limitus: a preliminary report. J Am Podiatr Med Assoc. 1995;85(12):749–752
  26. Hodor L, Hess T. Shortening Z-osteotomy for the proximal phalanx of the hallux using axial guides. J Am Podiatr Med Assoc. 1995;85(5):249–254
  27. Southgate JJ, Urry SR, Clarke HJ. Hallux rigidus: the long term results of dorsal wedge osteotomy and arthrodesis in adults. Presented at the British Orthopaedic Foot Surgery Society Meeting, 10 November 1995, Glasgow, United Kingdom. J Bone Joint Surg Br 78(suppl I):74, 1996. Available at: http://www.bofas.org.uk/ProfessionalArea/PreviousMeetingsInformation/ArchiveofAbstracts/tabid/68/Default.aspx. Accessed March 15, 2010.
  28. Blyth MJG, Mackay DC, Kinninmonth AWG. Dorsal wedge osteotomy in the treatment of hallux rigidus. J Foot Ankle Surg. 1998;37(1):8–10
  29. Rees R, Hartley RH, Henry APJ. Extension osteotomy: a good operation for hallux rigidus. Presented at the British Orthopaedic Foot Surgery Society Meeting, November 1998, Derby, United Kingdom. Available at: http://www.bofas.org.uk/ProfessionalArea/PreviousMeetingsInformation/ArchiveofAbstracts/tabid/68/Default.aspx. Accessed March 15, 2010.
  30. Thomas PJ, Smith RW. Proximal phalanx osteotomy for the surgical treatment of hallux rigidus. Foot Ankle Int. 1999;20(1):3–12
  31. Haddad SL. The use of osteotomies in the treatment of hallux limitus and hallux rigidus. Foot Ankle Clin. 2000;5(3):629–661
  32. Rees R, Hartley RH, Henry APJ. Extension osteotomy for hallux rigidus. The proceedings of the Hellenic Foot and Ankle Society (HEFAS) which was held on the 28th and 29th June 2003. Foot Ankle Surg. 2004;10(2):101–106
  33. Roukis TS. Hallux proximal phalanx Akin-Scarf osteotomy. J Am Podiatr Med Assoc. 2004;94(1):70–72
  34. Roukis TS. Modifications of the Akin osteotomy. J Foot Surg India. 2005;20(2):101–110
  35. Shah A, Murray L, Siddique M. The proximal phalangeal dorsomedial closing-wedge osteotomy and cheilectomy for the treatment of hallux rigidus: short-term results. Presented at the British Orthopaedic Foot Surgery Society Meeting, 17-19 November 2005, Oxford, United Kingdom. Available at: http://www.bofas.org.uk/ProfessionalArea/PreviousMeetingsInformation/ArchiveofAbstracts/tabid/68/Default.aspx. Accessed March 15, 2010.
  36. Kilmartin TE. Phalangeal osteotomy versus first metatarsal decompression osteotomy for the surgical treatment of hallux rigidus: a prospective study of age-matched and condition-matched patients. J Foot Ankle Surg. 2005;44(1):2–12
  37. Lee DK, Tilley GE. Transverse Z-osteotomy: is it a viable adjunctive option for hallux limitus?. Podiatry Today. 2006;19(7):1–3Available at: http://www.podiatrytoday.com/article/5817Accessed March 15, 2010
  38. Rochwerger A, Farhat I, Azam F, Blondel B, Curvale G. Joint preserving technique in hallux rigidus: a seven-year follow-up. Presented at the 8th Congress of the European Federation of National Associations of Orthopaedics and Traumatology (EFFORT), 11-15 May 2007, Florence, Italy. Available at: http://www.efort.org/abstracts/8th%20EFORT%20Congress%202007/abstracts/F738.pdf Accessed June 22, 2010.
  39. Cohen B. Hallux rigidus: “To fuse or not to fuse”—Cheilectomy versus fusion. Presented at the 28th Annual Oscar Miller Day Symposium “Advances in Operative and Non-operative Treatments of Foot and Ankle Disorders,” The Blake Hotel, Charlotte, NC, 17 October 2008. Available at: http://www.orthocarolinaresearch.org/UserFiles/File/Cohen-_Hallux_Rigidus-Cheilectomy_vs_Fusion.pdf. Accessed March 15, 2010.
  40. Pappas AJ, Cohen BE, Cosculluela P, Nickisch F, Anderson RB, Davis WH. Results of cheilectomy for the treatment of advanced hallux rigidus as published online October 2009 by McKee J. “Loosening up a stiff big toe” in American Association of Orthopaedic Surgeons (AAOS). Available at: http://www.aaos.org/news/aaosnow/oct08/clinical5.asp. Accessed March 15, 2010.
  41. Wingenfeld C, Abbara-Czardybon M, Arbab D, Frank D. [Cheilectomy and Kessel-Bonney procedure for treatment of hallux rigidus]. Oper Orthop Traumatol. 2008;20(6):484–491
  42. Mesa-Ramos M, Mesa-Ramos F, Carpintero P. Evaluation of the treatment of hallux rigidus by percutaneous surgery. Acta Orthop Belg. 2008;74(2):222–226
  43. Filip L, Stehlík J, Musil D, Sadovský P. [Indications for and methods of hallux rigidus treatment]. Acta Chir Orthop Traumatol Cech. 2008;75(3):173–179
  44. Seibert NR, Kadakia AR. Surgical management of hallux rigidus: cheilectomy and osteotomy (phalanx and metatarsal). Foot Ankle Clin. 2009;14(1):9–22
  45. Waizy H, Abbara-Czardybon M, Stukenborg-Colsman C, Wingenfeld C, Wellmann M, Windhagen H, et al. Mid- and long-term results of the joint preserving therapy of hallux rigidus. Acta Orthop Trauma Surg. 2010;130(2):165–170
  46. Vitek M. A new saw guide for the Akin osteotomy. Available at: http://www.members.feetforlife.org/download/6143/40_Treatment_of_Hallux_rigidus_Grade_II_with_Cheilectomy.pdf. Accessed 15 March 2010.
  47. Regnauld B. Disorders of the great toe. In:  Regnauld B editors. The Foot: Pathology, Aetiology, Seminology, Clinical Investigation and Treatment. Berlin: Springer-Verlag; 1986;p. 345–359
  48. Hattrup SJ, Johnson KA. Subjective results of hallux rigidus following treatment with cheilectomy. Clin Orthop. 1988;226:182–191
  49. Wright RW, Brand RA, Dunn W, Spindler KP. How to write a systematic review. Clin Orthop. 2007;455:23–29
  50. Moher D, Cook DJ, Eastwood S, Olkin I, Rennie D, Stroup DF. Improving the quality of reports of meta-analyses of randomized controlled trials: the QUOROM statement. Lancet. 1999;354(9193):1896–1900
  51. Roukis TS. The need for surgical revision after isolated cheilectomy for hallux rigidus: a systematic review. J Foot Ankle Surg (in press).
  52. Roukis TS. The need for surgical revision after isolated Valenti arthroplasty for hallux rigidus: a systematic review. J Foot Ankle Surg. 2010;49(3):294–297
  53. Roukis TS. Outcomes following autogenous soft tissue interpositional arthroplasty for end-stage hallux rigidus: a systematic review [published online ahead of print March 29, 2010]. J Foot Ankle Surg doi:10.1053/j.jfas.2010.02.014.

 Financial Disclosure: None reported.

 Conflict of Interest: None reported.

PII: S1067-2516(10)00193-6

doi: 10.1053/j.jfas.2010.05.006

Journal of Foot and Ankle Surgery
Volume 49, Issue 5 , Pages 479-487 , September 2010