Description: cheilectomy surgery
What is a cheilectomy?
Description: cheilectomy surgery; A cheilectomy is a surgical procedure that removes bone spurs from the big toe joint. The surgery smoothes the bone, preventing it from rubbing against other bones. This relieves pain and allows greater mobility of the big toe joint.
Who needs a cheilectomy?
Cheilectomies are often performed on people with severe cases of osteoarthritis of the big toe joint. Bone spurs form as the cartilage between bones breaks down and causes the ends of the bones to rub against each other. A cheilectomy can relieve pain for many people with this condition. If a person has rheumatoid arthritis rather than osteoarthritis, a cheilectomy may be less effective in relieving pain and restoring function.
What does a cheilectomy involve?
In most cases, a cheilectomy is an outpatient procedure performed by an orthopaedic surgeon at a hospital or clinic. It is done under either local or general anaesthesia (although some doctors may use regional anaesthesia). There are two approaches to performing the surgery: open or arthroscopic. In both cases
An ankle arthroscopy is a minimally invasive surgical procedure that allows a surgeon to see and work inside the joint through small incisions. This procedure is sometimes referred to as keyhole surgery.
An ankle arthroscopy can be used to identify or treat a wide range of problems in the ankle joint, including:
cartilage tears, including tears of the articular cartilage and discoid lateral meniscus
removal of loose bodies
synovitis (inflammation of the lining of the joint)
ankle impingement (the ankle bone rubs against another bone during movement)
Cheilectomy is a procedure that involves removing bone spurs and inflamed tissue from the big toe joint. Bone spurs are bony growths that develop over time and can cause pain when walking. This condition is known as hallux rigidus, or stiff big toe.
As the name suggests, hallux rigidus causes reduced motion in the big toe as cartilage breaks down due to arthritis. In extreme cases, this condition can be debilitating and make it difficult to walk. Fortunately, cheilectomy can reduce or eliminate symptoms of hallux rigidus and alleviate pain.
Excision of the lateral end of one or more metatarsals
It involves removing the enlarged portion of bone on the top of your foot
The ankle joint is the joint between the foot and the leg, formed by the ends of the tibia and fibula of the leg and the top of the talus bone of the foot. The ankle joint allows for up-and-down movement of the foot.
The ankle joint is made up of three separate bones:
Tibia – shinbone
Fibula – smaller bone lateral to tibia
Talus – situated between heel bone (calcaneus) and tibia
The top surface of each bone has a layer of cartilage. This provides a smooth surface for efficient movement. Ligaments hold the bones together and provide stability to the ankle joint.
Osteoarthritis (OA), also known as degenerative arthritis or wear-and-tear arthritis, occurs when protective cartilage that cushions the ends of your bones wears down over time. This causes pain, swelling and problems moving the joint.
How Long is Recovery From a Cheilectomy?
The average recovery time for a cheilectomy is two to four weeks. It may take up to six weeks before pain and swelling have completely gone.
Most patients will be able to return to their normal activities in about four weeks, but the time it takes for them to recover from surgery may vary.
A person can usually return to work within four weeks of having a cheilectomy.
The surgeon will remove stitches about 10 or 14 days after surgery. A person should not drive for at least 2–3 weeks after surgery, as this will allow time for the anesthesia and pain medication to leave the body.
For several months after surgery, a person may need to wear special shoes and walk with crutches or a cane. They also need to avoid high-impact activities, such as running or jumping, until the surgeon says it is safe to do so.
Cheilectomy recovery time varies from person to person and depends on the extent of the surgery. Some patients can begin walking after a few days, while others may need a couple of weeks to be able to walk comfortably.
After cheilectomy surgery, it is recommended that you:
Avoid putting weight on your foot for up to six weeks
Keep your foot elevated above heart level as much as possible
Wear a medical boot or cast for at least six weeks
Apply ice and take anti-inflammatory medication as necessary
I had a cheilectomy done on my left big toe in January. I started physical therapy in April and got off of the walking cast in May and have been using an ankle brace since then. I am still not back to normal as far as pain goes. I was told that it will take up to a year for me to recover.
The following is a typical recovery timeline for cheilectomy surgery:
1 week after surgery: You will see your surgeon to have any stitches removed. You may be able to resume walking on your operated foot but should still not put any weight on it. Your foot will be swollen and you may experience some pain.
2-4 weeks after surgery: You should be able to resume walking, but with a limp. Do not run, jump, or participate in any high-impact activities. At this point, you should not bear any weight on your big toe unless instructed to do so by your doctor.
5 weeks after surgery: Most people will be able to start putting weight on their big toe at this point, but you should still avoid running, jumping, or other high-impact activities. Begin stretching exercises as directed by your doctor.
6-8 weeks after surgery: Many people are able to return to normal activities at this point; however, you should still avoid strenuous impact activities and excessive exercise until 8-12 weeks post-op.
Cheilectomy (surgical removal of bone spurs from the big toe joint) is done to reduce pain and improve mobility in people with a painful condition called hallux rigidus. Recovery time depends on the severity of your condition before surgery, whether other procedures were performed at the same time and your compliance with postoperative restrictions.
Cheilectomy can be performed as an open procedure or minimally invasively with an arthroscope. Both methods have similar recovery times. If you are having other procedures done at the same time, such as synovectomy, osteotomy or fusion, your recovery will take longer.
For an open cheilectomy, one or more incisions are made in the top of the foot to gain access to the big toe joint. The surgeon removes any bone spurs that are causing impingement on surrounding soft tissue, and may also remove inflamed synovium if necessary. Synovectomy can be performed arthroscopically by inserting a small camera into the joint through a small incision and removing areas of inflamed synovium with surgical instruments inserted through other small incisions.
For patients with severe arthritis who are unable to bear weight on their feet after surgery
Dr. Steven Raikin is a foot and ankle surgeon at Rothman Institute, specializing in advanced techniques to treat foot and ankle arthritis, including “supercharging” treatments that allow patients to resume normal activities immediately after surgery. He is also the author of the book, “The Arthritis Solution for Feet & Ankles.”
In this Q&A he answers a question about cheilectomy recovery.
Q: What is Cheilectomy?
A: A cheilectomy is a procedure performed for arthritis at the big toe joint. It involves shaving down bone spurs at the base of the big toe. The bone spurs can be quite painful when they rub against shoes and limit motion of the toe. This procedure can make walking much more comfortable and relieve pain with walking.
You may feel some pain and stiffness. This is common after surgery. As the swelling goes down, your toe will feel better.
Your doctor may want you to wear a special shoe or a surgical boot for 4 to 6 weeks after surgery. You will also need crutches or a walker until you can put weight on your foot again.
You’ll probably be able to walk on your toe right away. But you should not walk long distances or do strenuous activities for 6 to 8 weeks after surgery. Your doctor may suggest physical therapy if needed.
It may take 3 to 4 months for your big toe joint to heal completely after surgery. You should decide about returning to work with your doctor. Some people are able to return in 1 week, but others may take up to 8 weeks or more. You may need a note from your doctor excusing you from work until you’re healed
Is Cheilectomy Surgery Painful?
Cheilectomy is a surgical procedure that involves the removal of bone spurs and overgrown bone from the top of the big toe joint. This surgery is done to relieve pressure on the joint and reduce pain associated with bunions, stiffness, and arthritis. The recovery period after this surgery can last several months.
Is Cheilectomy Painful?
I had cheilectomy surgery performed on my left foot by Dr. Weil in March of 2016. The surgery itself was quite easy. I was sedated with a general anesthetic and was out the entire time. Afterward, I stayed at the hospital overnight and went home the next morning. I was on crutches for three weeks and in a walking boot for one week after that. I wore Crocs most of the time at home, so that made it easier to get around.
I did have some pain for about two weeks after surgery when trying to put weight on my foot, but that is to be expected with any type of surgery. Ibuprofen was enough to take away any pain that I had. It is now July 8, four months after surgery, and I am back to doing everything that I did before surgery, including running and playing soccer.
I would highly recommend Dr. Weil’s office to anyone who has this problem with their big toes!
cheilectomy is a surgical procedure to remove bone spurs from the big toe joint.
The procedure is performed for two reasons: to relieve pain and improve mobility caused by hallux rigidus (arthritis of the big toe) and to prevent recurrence of bunions.
cheilectomy surgery is performed under a general anesthetic and usually takes between 30-45 minutes.
There was no pain involved in the surgery. Now, the recovery is painful – but it’s not that bad. My doctor had me do a simple workout plan 3 times per day, and it definitely helps. You can find it here:
The procedure can be done under local or general anaesthesia depending on the patient. Under local anaesthetic, the operation is usually painless during surgery.
You may feel some numbness in the area of surgery while the anaesthetic is working and it will take a couple of hours for this to pass.
The surgery is done as an outpatient procedure, which means that you will not have to stay overnight in the hospital. The day of surgery your foot will be prepared and draped in a sterile fashion. Local anesthesia will be injected into your foot. You may also have a sedative given by injection to help you relax.
The surgeon makes a small incision over the big toe joint and moves aside the skin, tendon, and other soft tissues to expose the joint. Next, any inflamed synovium is removed from around and inside the joint. Then the surgeon trims (or resects) the bony growths (called osteophytes) that are causing your pain. When this is done, he or she closes the incision with sutures. A dressing and splint are then applied to keep the toe straight while it heals.
The surgery usually takes about an hour, but can take longer if more than one joint is involved or if there are other problems present.
There is no pain during the operation, because you are given a general anaesthetic. It may be that a local anaesthetic is also used, because this can reduce discomfort when you wake up.
After the operation, there is some pain, but this varies between individuals.
You will be given painkillers to control any pain. If you have had a local anaesthetic as well as a general anaesthetic, it should be possible to stop these after a few days. If you have only had a general anaesthetic, you may need painkillers for longer. Your surgeon will advise you about this.