CME OnDemand: 2022 Advanced Foot and Ankle: Challenging Conditions, Expert Teaching-Hallux Rigidus: Which Option Is Best for Me? - MIS/Scope Cheilectomy: Small Incisions and Great Results

Hallux Rigidus: Which Option Is Best for Me? - MIS/Scope Cheilectomy: Small Incisions and Great Results

Video Transcription

Video Summary

In this video, Dr. Alastair Younger from Vancouver discusses the use of arthroscopic debridement in the treatment of hallux rigidus, a condition involving stiffness and pain in the big toe joint. He begins by explaining the typical presentation of patients with hallux rigidus, which includes pain, limited range of motion, and difficulty with shoe wear. Dr. Younger emphasizes the importance of imaging, particularly X-rays, in diagnosing and assessing the severity of the condition. He then discusses the indications for surgery and the potential contraindications, such as advanced sesamoid arthritis. Dr. Younger explains the surgical technique for a dorsal chilectomy using minimal incisions and arthroscopic assistance. He highlights the need to remove all debris and bone fragments during the procedure to ensure good outcomes. Dr. Younger also discusses alternative treatment options, including implant arthroplasty and fusion, and emphasizes the importance of tailoring the treatment to the patient's goals and preferences. He concludes by advising healthcare professionals to attend appropriate courses and gain experience with the technique before attempting it themselves.

Asset Subtitle

Alastair Younger, MD ChB, ChM, FRCSC

Keywords

arthroscopic debridement

hallux rigidus

big toe joint

X-rays

dorsal chilectomy