Joint sparing management of hallux rigidus: Cartiva SCI vs cheilectomy a comparative review.

Brandao, Bernardo; Hall, Angus; Aljawadi, Ahmed; Fox, Anna; Pillai, Anand · J Orthop · 2020

retrospective_cohort · Level III

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Abstract

Hallux rigidus, or first metatarsophalangeal joing arthritis, is a very common condition which causes pain and loss of motion in the joing which can be debilitating. Patient reported outcome measures were utilised to study the difference in day to day functionality between two common surgical management options for hallux rigidus. 55 Cartiva and 23 Cheilectomy patients were included in this study. The Manchester Oxford Foot and Ankle Questionnaire revealed statistically significant improvements in the cheilectomy patients when compared to Cartiva SCI.Foot and Ankle Ability Measure found no statistical difference was found between the two surgical treatments. Cheilectomy offers good post-operative functional and sporting outcomes after surgery for the management of hallux rigidus at 5 years.