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. 2020 Jul 27:21:401-405.
doi: 10.1016/j.jor.2020.07.004. eCollection 2020 Sep-Oct.

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

Bernardo Brandao  1 , Angus Hall  2 , Ahmed Aljawadi  2 , Anna Fox  2 , Anand Pillai  2
Affiliations

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

Bernardo Brandao et al. J Orthop. .

Abstract

Background: 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.

Methods: Patient reported outcome measures were utilised to study the difference in day to day functionality between two common surgical management options for hallux rigidus.

Results: 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.

Conclusion: Cheilectomy offers good post-operative functional and sporting outcomes after surgery for the management of hallux rigidus at 5 years.

Keywords: Cartiva; Cheilectomy; Hallux rigidus; PROMs.

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Conflict of interest statement

None of the authors have conflicts of interest to disclose.

Figures

Fig. 1
Fig. 1
Pre-operative foot X-ray of Cartiva SCI patient with Hattrup and Johnson severe hallux rigidus.
Fig. 2
Fig. 2
Post-operative foot X-ray of Cartiva SCI patient showing implant arthroplasty in situ in first metatarsal with adequate joint spacing.
Fig. 3
Fig. 3
Pre-operative foot X-ray of Cheilectomy patient with Hattrup and Johnson severe hallux rigidus.
Fig. 4
Fig. 4
Post-operative lateral foot X-ray of Cheilectomy patient with good surgical outcome.
Fig. 5
Fig. 5
Manchester Foot and Ankle Questionnaire (MOXFQ) scores for Cartiva and Cheilectomy.
Fig. 6
Fig. 6
Sporting activities for the Cartiva and Cheilectomy groups.
See this image and copyright information in PMC

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