Understanding the Cheilectomy Procedure: A Guide for Patients
- Coriel
- 7 hours ago
- 3 min read
Hallux rigidus, or arthritis of the big toe joint, can cause significant pain and restrict mobility. The cheilectomy procedure offers an effective solution to alleviate discomfort, improve joint function, and restore mobility. Here’s what you need to know about this procedure and its recovery process.
What is the Cheilectomy Procedure?
The cheilectomy procedure is designed to address hallux rigidus by removing bony outgrowths and joint debris. This process improves joint motion, reduces pain, and helps straighten the toe. As a joint-preserving surgery, it often leads to an enhanced range of motion without requiring permanent fixation or implants.
The procedure typically takes about 30 minutes and does not require the use of a cast. Absorbable stitches are commonly used to minimise the need for removal.
Why Consider This Surgery?
The primary aims of a cheilectomy are:
To reduce pain caused by arthritis or prominent joints.
To improve the alignment and mobility of the big toe.
To decrease the formation of calluses or corns caused by the deformity.
Advantages:
A joint-preserving procedure that maintains and may improve movement in the affected toe.
Risks and Considerations
While the procedure is generally successful, some risks include:
Residual stiffness or joint pain.
Increased pressure or discomfort in the ball of the foot.
Recurrence of symptoms.
Your consultant will discuss these risks with you and explain how they will be managed to ensure the best outcome.
Who is a Candidate for This Procedure?
This surgery is typically recommended for individuals experiencing:
Arthritis in the big toe joint.
Pain caused by prominent joints.
Difficulty wearing sensible footwear due to the deformity.
Alternative Treatments:
Altering activity levels.
Using painkillers or anti-inflammatory medications.
Changing footwear styles.
Joint injection therapy.
Other surgical options, including 1st MTP joint fusion or excisional arthroplasty.
What to Expect During Surgery
The procedure is performed under local anaesthesia, which may include a series of injections around the ankle or behind the knee. This ensures that you remain awake but pain-free. Sedation or general anaesthesia can also be used if preferred.
Although the procedure takes about 30 minutes, you should plan to spend a few hours in the day surgery unit to rest before heading home. It is essential to have a responsible adult accompany you and assist you during the first 24 hours post-surgery.
Recovery Timeline
First 2-4 Days:
Pain is typically most intense during this period, but prescribed painkillers will help manage discomfort.
Rest is essential. Keep your foot elevated and minimise walking.
Use crutches as instructed to limit weight-bearing on the operated foot.
One Week After Surgery:
Attend a follow-up appointment for dressing changes and progress checks.
Gradually increase activity within pain limits. Pain or swelling indicates overexertion.
Two Weeks After Surgery:
Sutures will be removed if necessary.
Bandages and crutches are no longer required, and you can get your foot wet.
Begin wearing trainer-style shoes and performing gentle toe exercises to maintain mobility.
2-6 Weeks After Surgery:
The foot begins to feel more normal, though some swelling may persist.
By six weeks, 89% of patients can return to wearing regular shoes.
You may return to non-manual work; manual labour may require additional recovery time.
Driving can resume if you can safely perform an emergency stop. Confirm this with your insurance provider.
8-12 Weeks After Surgery:
Swelling reduces further, and the foot feels more functional.
Sporting activities may be reintroduced after three months, depending on your recovery progress.
Six Months After Surgery:
Attend a final review to assess long-term recovery.
Swelling should be minimal, and most patients experience the full benefits of the surgery.
Twelve Months After Surgery:
Full healing is achieved, and improvements in alignment and comfort will stabilise.
Planning for Recovery
To ensure a smooth recovery:
Arrange for assistance with daily tasks during the initial weeks.
Follow all post-operative care instructions provided by your consultant.
Attend all scheduled follow-up appointments to monitor healing progress.
The cheilectomy procedure is an effective option for relieving pain and improving mobility in patients with hallux rigidus. With proper care and adherence to recovery protocols, most patients experience significant improvements in their quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right choice for you.