What is cheilectomy?
Cheilectomy is a joint-preserving surgery that aims to remove bone overgrowth and spurs that form due to osteoarthritis or joint degeneration. These bone spurs can cause pain and hinder the toe’s normal range of motion. By surgically removing the excess bone, the toe can move more freely, reducing pain and improving function. A cheilectomy is usually performed on the first metatarsophalangeal (MTP) joint, which is the joint at the base of the big toe.
Cheilectomy indications
Dr Michael Abramson may recommend a cheilectomy for patients experiencing the following conditions:
- Hallux rigidus (big toe arthritis): Cheilectomy is primarily performed for patients with early to moderate stages of hallux rigidus, where there is pain and stiffness in the big toe joint.
- Bone spurs: If bone spurs are causing discomfort, pain, or restricted movement of the big toe joint, a cheilectomy may be indicated.
- Pain during activity: Patients who experience pain while walking, running, or standing for long periods due to the limited motion in the big toe may benefit from the procedure.
- Failed conservative treatment: If non-surgical treatments such as orthotics, anti-inflammatory medications, and physical therapy fail to provide relief, a cheilectomy may be the next step.
How does Dr Abramson perform a cheilectomy?
Dr Michael Abramson performs cheilectomy with a precise and patient-focused approach. The procedure begins with a thorough pre-operative assessment, including physical examinations and imaging studies like X-rays, to evaluate the severity of arthritis and bone spurs. The surgery is typically carried out under local or general anaesthesia, depending on the patient’s needs and preferences.
Dr Abramson makes a small incision over the top of the big toe joint and meticulously removes the bone spurs, causing pain and restricting movement. He also smooths any rough areas of the joint to reduce friction and improve the range of motion. After removing the spurs, Dr Abramson inspects the surrounding soft tissues to ensure they remain intact before closing the incision with sutures.
Following the procedure, patients receive detailed post-operative care instructions and may be advised to engage in physical therapy to restore flexibility and strength. Dr Abramson’s technique emphasizes minimal disruption to the natural joint structure, aiming for effective pain relief and enhanced mobility, with most patients resuming normal activities within a few weeks and achieving full recovery in a few months.
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