Two commonly used procedures for early stage hallux rigidus are cheilectomy and decompression metatarsal osteotomy. However, although both procedures were first described several decades ago, a deficit exists in the published data comparing their effectiveness. We performed a retrospective comparative study to examine the results of surgical treatment of early-stage hallux rigidus. A total of 423 subjects were included. Hallux limitus or rigidus had been diagnosed in all patients, who had undergone either cheilectomy or any variation of plantarflexion decompression metatarsal head osteotomy. Of the 423 procedures identified during the study period, 341 (80.6%) were cheilectomy and 82 (19.4%) were decompression osteotomy procedures. The rate of revision procedures was significantly greater in the cheilectomy group (8.21%) than in the osteotomy group (1.22%). Sex, laterality, and body mass index played no role in the rate of revision. The absence of research studies comparing the effectiveness of the 2 procedures has led many practitioners to favor cheilectomy for early-stage hallux rigidus. Decompression metatarsal osteotomies are technically more difficult, involve more risks, and require greater restrictions on postoperative weightbearing compared with cheilectomy. However, our data have shown that within the first 5 postoperative years, decompression osteotomy resulted in a dramatically lower rate of revisional surgery for first metatarsophalangeal joint pathology compared with cheilectomy.

译文

:早期发生拇趾僵硬的两种常用方法是切唇术和减压meta骨截骨术。但是,尽管这两种方法都是在几十年前首次描述的,但是在比较它们的有效性的公开数据中仍然存在缺陷。我们进行了一项回顾性比较研究,以检查早期僵直的外科手术治疗结果。共纳入423名受试者。在所有患者中均已诊断出拇外翻或僵直,这些患者均接受了切唇切除术或plant屈减压减压meta骨头截骨术的任何改变。在研究期间确定的423例手术中,有341例(80.6%)进行了唇切除术,其中82例(19.4%)为减压截骨术。切唇切除术组的翻修程序率(8.21%)显着高于截骨术组(1.22%)。性别,侧卧度和体重指数对翻修率没有影响。尚无研究比较这两种方法的有效性,导致许多从业者倾向于对早期刚硬性拇囊切除术。与唇切除术相比,减压che骨截骨术在技术上更加困难,涉及更多风险,并且要求在术后负重方面有更大的限制。但是,我们的数据显示,与切唇切除术相比,减压截骨术在进行第一meta趾关节病理的矫正手术率显着降低。

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