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A cheilectomy is a surgical procedure that removes bone spurs from the base of the big toe. [1] Patients with a condition called hallux rigidus, or arthritis of the big toe, have pain and stiffness in the big toe. The word cheilectomy comes from the Greek word Cheilos, meaning "lip."
In this procedure, the affected toe is anesthetized with a digital block and a tourniquet is applied. An incision is made proximally from the base of the nail about 5 mm (leaving the nail bed intact) then extended toward the side of the toe/toenail in an elliptical sweep to end up under the tip of the nail about 3–4 mm in from the edge.
Exostoses are sometimes shaped like spurs, such as calcaneal spurs. Osteomyelitis, a bone infection, may leave the adjacent bone with exostosis formation. Charcot foot, the neuropathic breakdown of the feet seen primarily in diabetics, can also leave bone spurs that may then become symptomatic.
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Illustration showing Akin osteotomy correction of the big toe. Akin osteotomy is a surgical procedure often used in the treatment of hallux valgus deformity, more commonly known as a bunion. [1] A bunion is a bony bump that forms on the joint at the base of the big toe, often resulting in the toe pointing abnormally toward the second toe.
Hallux rigidus or stiff big toe is degenerative arthritis and stiffness due to bone spurs that affects the metatarsophalangeal joints (MTP) at the base of the hallux (big toe). Hallux flexus was initially described by Davies-Colley [ 1 ] in 1887 as a plantar flexed posture of phalanx relative to the metatarsal head.