First Metatarsal Cheilectomy and Osteochondral Defect Treatments
Degenerative joint disease in the first metatarsophalangeal joint is a progressive disease ultimately leading to end-stage hallux rigidus. We commonly use the Coughlin grading system for hallux rigidus from grade 1 to grade 4. Bussewitz et al. showed successful results at 3-year follow-up with cheilectomy for grades 1, 2, and 3 hallux rigidus. More recent attention to treating focal cartilage defects of the first metatarsal head has also shown excellent results at 3-year follow-up. Identifying and intervening earlier in this disease can reduce pain, preserve function, and delay or prevent progression.
KeywordsHallux rigidus Osteochondral defect Cheilectomy Microfracture Cartilage allograft
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