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Cheilectomy for Big Toe Arthritis - The Sajid Shariff Clinic

Cheilectomy for Big Toe Arthritis

Book a free Intro call today to discuss options for Cheilectomy for Big Toe Arthritis - Email: Mrshariff-sec@outlook.com Tel: 07500 938115

What is Cheilectomy for Big Toe Arthritis?

The procedure involves removing the extra bump of bone on top of the big toe that is causing pain and discomfort. It does not cure the arthritic process but the movement of the joint of the big toe can increase. For those patients with less severe arthritis there is an 80% chance of this surgery being successful for up to 5 years. If a cheilectomy fails to improve the pain then a fusion may be undertaken at a later date. Most forefoot surgery is carried out as a day case. However sometimes it is necessary to stay in hospital for one night.
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Important Post-Operative Advice after Cheilectomy for Big Toe Arthritis

POST OPERATIVE ADVICE

Wound site: The wound is closed with stitches and a dressing. It is important to keep the foot elevated to above groin level for the first 72 hours following the operation. This helps to limit swelling and reduce post operative complications. A post-op shoe will be applied in most cases and needs to be worn when walking. The dressing needs to be protected when having a bath or shower until the wound is fully healed.

An appointment to attend the outpatient department around two weeks following the procedure will be arranged. The bandage and dressings will be removed along with any stitches and your wound site will be inspected.

Recovery period:  It is important to exercise the joint by holding the big toe and gently moving it up and down. Performing these exercises regularly and at a early stage following surgery allows the best possible result.  Swelling after this operation persists for about 3 months.  As raw bone is left, the benefit of the operation takes about 6 weeks and the symptoms should then continue to improve for up to 12 months.

Returning to work: This depends on the type of work. For an office or sedentary type of employment patients may resume work after the 2 week appointment. However, if the employment is physically demanding and involves long periods of standing then it is advisable to refrain from work for a longer period of time.

Driving: For an automatic car it may be possible to drive following the 2 week appointment if all is well. You must be able to perform an emergency stop. Notify your insurance company of the type of operation that you have undergone to ensure that cover is valid.

Sport: Depending on pain, it is possible to resume sport at around 3 months.

 

Possible Complications of Surgery

Infection: Occasionally occurs in a small percentage of patients. Minor infections normally settle after a short course of antibiotics. However, it is possible that further surgery may be required to remove infected bone.

Numbness or tingling: at the surgical site(s) can occur as a result of minor nerve damage. Often this is temporary; however, the numbness or sensitised area may be permanent.

Incision site: The outer surface of the foot where the blood supply is not so good may be slow to heal. If this is the case, more frequent wound dressings may be required to ensure that the wound does not become infected.

Failure to relieve pain: patients may continue to have pain and or stiffness following cheilectomy; they may then require a fusion.

Scarring: any type of surgery will leave a scar. Occasionally this causes pain and irritation.

Blood clots: Deep vein thrombosis (D.V.T.) or Pulmonary Embolus (P.E.) are rare. Please inform the team if you have had a D.V.T. or P.E. before or if you have a family history of clotting disorders.

Kent’s Holistic Foot & Ankle specialists

The Sajid Shariff clinic is a private orthopaedic clinic based in SE London and Kent that specialises in surgical and non-surgical treatment of foot and ankle conditions including Cheilectomy for Big Toe Arthritis.

Keep an eye on the shape of your feet; if you see changes see a doctor to find out if there are any recommendations to prevent hallux valgus from forming

Use a variety of exercises to stretch your feet and calves

Try to avoid shoes that have a heel or pointed toe

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Book a call with one of our team

Find out how we can help you with Cheilectomy for Big Toe Arthritis and other surgery treatments. Simply fill in this contact form and our Medical Secretary will be in touch to schedule a time that works for you.
  • If you wish to proceed after your Introductory call with one of our team, a face to face consultation with Dr Sajid Shariff costs £200.
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