Hallux Rigidus Surgery

Anyone here had surgery for HR.

I had surgery the middle of last year for suspected HR. Decompression osteotomy with Cheilectomy had a few problems with the recovery and had to have revision surgery which included further cheilectomy and debridement.

11 weeks post 2nd surgery and still getting swelling and some joint pain which is different than the before the initial surgery.

I have read that swelling can last anywhere up to a year. My worry is the joint ache and pain. I'm not sure if this is post op healing raw bone etc. Or is it something else.

Does anyone here have similar experience of HR surgery and did they eventually get rid of the pain??

"decompression osteotomy" mankes no sense to me. Where was the osteotomy, and what was removed (if anything)?

Longitudinal incisions (in the line of the toe) can be a problem as the scar will shorten with time.

Osteotomy was on the metatarsal behind the big toe. Not sure how much bone was removed.

How I wish that the NHS surgeons would stop damaging the metatarsal. My message to other readers is the emphatic advice not to allow any surgeon to operate upon the metatarsal. I have seen it all, catastrophy after catastrophy.

jP just a question and please don't think I'm being rude. You say you have seen this time and time before, where have you seen this and why are the surgeons performing this type of op if you believe this is a bad op?

I have seen it because I am a specialist foot and ankle surgeon.

I have a certain sympathy for my colleagues, because they are only doing what they have been taught.

Sadly, these errors are perpetuated in their training.

I have seen it because I am a specialist foot and ankle surgeon.

I have a certain sympathy for my colleagues because they are only doing what they have been taught.

Sadly these errors are perpetuated in their training.

JP thanks for the reply. Is it true this type of Surgery is not usually performed by Orthopeadic surgeons but more commonly by podiatric surgeons?

A foot and ankle surgeon is a fully trained medical practitioner, with a further five year diploma in surgery, plus usually having completed a further foot-and-ankle fellowship in a super specialised unit.

Podiatrists do not have this training.

I take it you are an Orthopeadic Foot and ankle surgeon..!!

I also had the Decompression osteotomy with Cheilectomy.  It has been almost 4 months since the surgery, and I'm still limping.  Still quite a bit of joint pain. Hoping for better results with time.

 

I am 3 weeks into post hallux surgery with 4 hammertoes with pins.  2nd nightI t fell due to the knee scooter handles doing a 90 degree flip and I fell on the operated foot.  Now my doctor tells me I have to have a "modified osteotomy in about 6-9 months after the swelling is gone.  I am in pain and am VERY discouraged and depressed.  Has this happened to anyone else?  I have had quite a few surgeries in my life, but the pain from this is almost unbearable.

 

Months have passed since this original post.  I had the decompression osteotomy or Sagittal Mitchell just over a month ago.  According the dr's notes, my metatarsal was shortened by 3mm.  At the month check up, I was told I could get out of the boot as long as I wear highly cushioned athletic shoes.  The issue was there is still minimal movement in my big toe.  I have been manually manipulating the toe at least twice a day.  It seems impossible to move the toe down past a certain spot, which is minimal.  Moving the toe up causes sharp pain and sometimes I feel a crack when I release it.  I deal with the pain on  mobility because I'm told to, but is this normal?  How much pain for mobility exercises.  I did have a PT appt and he did graston, which he says made a difference.  

What is your experience with regaining mobility with this surgery?  My dr has been vague in what to expect or do going forward.

Hi JP - looking for reassurance more than anything else! My daughter has had two Cheilectomy's for Hallux Rigidus and still has debilitating pain - her last x-ray showed no cartilage in the great toes.  She is scheduled for bilateral big toe fusion surgery.  My concern is that she is only 21. I haven't found any resources or studies on long term success of this surgery on a young adult.  Any guidance where to look? or, is that even a concern? thank you!

Cason what is your suggestion to someone with rigiid big toe.? What would you do if it was your foot?

How is your toe today? I'm scheduled for surgery October 20th and it just started investigating patient forms

Hi Carol how is your toe today? I'm scheduled for surgery October 20th and I'm doing my homework on whether or not I should have this surgery or not

How is your daughter's foot today? I'm considering having the surgery actually I'm scheduled for surgery October 20th and I'm doing other homework and was wondering how she's doing

How do I know if my surgeon is going to damage my metatarsal? And how do I check up on my particular doctor to make sure he is qualified for the procedure

A question for the foot and ankle surgeon. My podiatric surgeon has recommended decompression osteotomy on my left big toe joint. An MRI showed that my osteo-arthritis is far worse than previously thought (the X-rays had suggested mild arthritis). He had previously sugged a cheilectomy, but now says that wouldn't work on its own. even the decompressive osteotomy may not work, he says - the best long-term solution would be to fuse the joint but I'm relatively young (in my early 40s). I have read your comments about not undergoing surgery - how would you treat avanced osteo-arthritis? I get pain in both my feet. I feel like I have little choice. Thanks Julia