Abstract
Compared with other surgical procedures for hallux rigidus, dorsal cheilectomy involves
relatively less bone removal, maintains joint motion, and leaves the potential for
further salvage surgery. The Manchester-Oxford Foot and Ankle Questionnaire (MOXFQ)
has a maximum score of 64 (worst foot health) and has been endorsed by the British
Foot and Ankle Society to measure surgical outcome. We prospectively assessed patient-reported
outcomes after dorsal cheilectomy for hallux rigidus using the MOXFQ. Patients were
deemed suitable for dorsal cheilectomy if they had painful restriction of terminal
dorsiflexion, with absence of pain in the mid-range of passive movement, and radiographic
evidence of dorsal osteophytosis. Twenty-five patients with a mean age of 62 years
(range, 39-80 years), including 17 (68%) women, underwent dorsal cheilectomy for hallux
rigidus. The mean preoperative MOXFQ score was 33.0 (95% confidence interval = 27.4-38.6),
and, at a mean of 17 months (range, 9-27 months) follow-up, the mean postoperative
score was 9.6 (95% confidence interval = 6.0-13.2). Eighty-four percent of patients
experienced clinically significantly improved walking domain, 68% in the social domain,
and 59% in the pain domain of the MOXFQ. Four patients failed cheilectomy, including
3 who subsequently underwent arthrodesis for persistent pain and 1 who experienced
no improvement in any domain of the MOXFQ. This prospective study provided further
evidence of the success of dorsal cheilectomy as a treatment for hallux rigidus and
demonstrated the potential usefulness of the MOXFQ in assessing surgical outcomes
in foot surgery.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: March 22, 2010
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2010 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
