What is Moberg osteotomy?

A Moberg osteotomy is a dorsal closing wedge osteotomy of the proximal phalanx of the great toe. It is used for hallux rigidus, grades 2 and 3, often in conjunction with a cheilectomy or other joint-sparing procedure. The osteotomy can be completed with an open or MIS approach, depending on surgeon preference.

What is the best surgery for hallux rigidus?

Arthrodesis is a joint-sacrificing procedure that has been the gold standard for advanced hallux rigidus. Other newer procedures such as implant arthroplasty, interpositional arthroplasty and arthroscopy, have demonstrated promising early patient outcomes.

How much does hallux rigidus surgery cost?

Cost of surgery is often dependent on the length and complexity of the case and number of feet/toes involved. Approximate costs for the common procedures are: Hallux rigidus: $3000 per foot. Hallux valgus (Bunion): $2200 per foot.

What is a osteotomy procedure?

Osteotomy literally means “cutting of the bone.” In a knee osteotomy, either the tibia (shinbone) or femur (thighbone) is cut and then reshaped to relieve pressure on one compartment of the knee joint.

Is a cheilectomy painful?

Often, you will only feel a slight pain for a long time. However, it often gets worse and your movement becomes limited. At this time you should seek treatment. Your doctor will help you decide if you need a cheilectomy.

Can you run after hallux rigidus surgery?

He concluded that the procedure is a safe and highly effective treatment for running and jumping athletes limited by hallux limitus/rigidus because 94 percent were able to return to their desired level of activity.

What is Stage 4 hallux rigidus?

In Stage IV hallux limitus/rigidus, there is severely advanced degenerative joint disease with complete loss of articular cartilage on both sides of the joint as well as a loss of joint space. The joint is flattened and wide in all planes with severe limitation of motion in all planes and directions.

Is big toe fusion painful?

You may have some minor pain and swelling that lasts as long as 6 months to a year. After surgery, you may need to wear a special type of shoe or boot for 3 to 6 weeks. It will help protect your foot and keep your bones in the right position. Your doctor will remove your stitches about 2 weeks after the surgery.

Is hallux rigidus bunion?

The most common distinction is where the bony outgrowth can be seen. Hallux rigidus is characterized by a bump on the top of the toe. A Bunion is an outgrowth along the edge of the big toe.

How long does it take to recover from osteotomy surgery?

After the procedure Depending on the complexity of the surgery and how well you recover, you’ll go home the same day or stay one night in the hospital. You’ll need to use crutches for approximately two months for your bone to heal properly. Rehabilitation can take as long as six months.

Can you wear heels after big toe fusion surgery?

The toe is positioned for optimal function. Once fusion is successful, you will be able to wear most shoes (but not necessarily all types and generally not more than a 2 inch/5 cm high heel. There are no limits to the amount of type of exercise activities allowed subsequently.

Is walking good for hallux rigidus?

Walking, provided it is not too painful to do and can be done with proper alignment, also assists with improving the toe range of motion. Walking uphill is particularly helpful for the big toe joint range of motion but for many patients this is too painful and cannot be done for a while until the joint pain settles.

When can you walk after hallux rigidus surgery?

Cartiva: You may walk on the foot immediately after surgery, in the post-op shoe provided for you. You must leave the dressings on for two weeks, but are encouraged to move the great toe after the surgery. You are seen at two weeks for suture removal.

What happens if hallux rigidus goes untreated?

If left untreated, a stiff big toe may lead to: Limping, and pain in the knee, hip, or lower back. Painful standing and/or walking. Permanent loss of big toe motion and disability.

Can you drive after hallux rigidus surgery?

Conclusion: Most patients may be informed that they can safely return to driving 8 weeks after right metatarsal osteotomy for hallux valgus correction. Some patients may be eligible to return to driving sooner depending on their VAS, first MTP ROM, and driver readiness survey results.