Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Arthroscopy & Endoscopy
Arthroscopy-Assisted MIS Cheilectomy for Hallux Rigidus
A first-MTP hallux rigidus treated with an arthroscopy-assisted minimally invasive cheilectomy — shaving the dorsal bony block precisely through tiny portals.
Patient Age
25 Years
MECHANISM
Hallux rigidus
PRESENTATION
Stiff, Painful First MTP Joint
APPROACH
Arthroscopy-Assisted MIS Cheilectomy
01
Clinical Rationale
Hallux rigidus caused by a dorsal bony block was decompressed percutaneously, with portals planned tangential to the exostosis to protect the EHL and dorsal veins. Arthroscopy confirmed the decompression was adequate before closing.
02
Surgical Approach
A minimally invasive cheilectomy was performed with first-MTP arthroscopy assistance. Portals were planned tangential to the exostosis; using a burr with swiping and windshield-wiper movements, the dorsal third of the first metatarsal head's articular prominence was excised and the bone paste milked out.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
MIS cheilectomy, combined with first-MTP scopy, augments the result and makes the procedure successful.
#2
Portals planned tangential to the exostosis protect the EHL and dorsal veins.
#3
The dorsal third of the metatarsal head is separated with controlled burr movements.
#4
Arthroscopic visualisation confirms adequate bony decompression of the joint.
04
Clinical Care Points
RIGHT SIDE
- i) Arthroscopy-assisted MIS cheilectomy
ii) Portals tangential to exostosis
iii) Burr excision of dorsal prominence
iv) Irrigation and bone-paste removal
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Arthroscopy-Assisted MIS Cheilectomy for Hallux Rigidus
A first-MTP hallux rigidus treated with an arthroscopy-assisted minimally invasive cheilectomy — shaving the dorsal bony block precisely through tiny portals.
A 25-year-old woman presented with painful stiffness of the great-toe joint caused by hallux rigidus. A dorsal bony prominence made upward movement uncomfortable and interfered with footwear and walking. The aim was to remove the impinging bone while minimizing disruption around the first metatarsophalangeal joint.
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