Clinical and Radiological Outcomes of Cheilectomy in High-Grade Hallux Rigidus: A Retrospective Analysis
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Tarih
2024
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Dergi ISSN
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: This retrospective study aims to assess the clinical and radiological outcomes of cheilectomy in patients diagnosed with Grade 3-4 Hallux Rigidus. Materials and Methods: Nineteen patients (21 feet) who underwent cheilectomy between January 2016 and September 2018 were retrospectively analyzed. Clinical evaluation included a range of motion (ROM), Visual Analog Scale (VAS), and American Orthopedic Foot and Ankle Society (AOFAS) scoring. Radiological assessment involved examining osteophyte recurrence and arthrosis progression through both anteroposterior (AP) and lateral X-ray images. Results: The average patient age was 52 years, with a mean follow-up of 26.2 months. Following cheilectomy, significant improvements in dorsiflexion and total joint ROM were observed compared to preoperative levels (p=0.001). VAS scores significantly decreased at the last follow-up compared to preoperative values (p=0.018). Based on AOFAS scoring, 19 out of 21 feet achieved good to excellent results, while 2 patients showed poor outcomes. Radiologically, no osteophyte recurrence was noted. One patient required arthroplasty revision. Conclusion: Cheilectomy may offer favorable outcomes in well-selected patients with high-grade Hallux Rigidus, particularly when joint mobility preservation is desired over arthrodesis.
Açıklama
Anahtar Kelimeler
Cheilectomy outcomes, hallux rigidus treatment, joint mobility preservation
Kaynak
Comprehensive medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
16
Sayı
2
