{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:09:55Z","timestamp":1789074595797,"version":"build-2803163510"},"reference-count":7,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[1999,3,1]],"date-time":"1999-03-01T00:00:00Z","timestamp":920246400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[1999,3]]},"abstract":"<jats:p>Dorsal cheilectomy of the hallux metatarsophalangeal (MTP) joint through a medial approach can effectively provide long-term relief of pain and improve function in symptomatic mild-to-moderate hallux rigidus, despite progression of generalized first MTP joint arthritic degeneration and\/or loss of motion. Fifty-seven patients (75 feet) with arthritis of the first MTP joint underwent dorsal cheilectomy through a medial approach for hallux rigidus failing nonoperative management. Excision of the dorsal articular surface of the first metatarsal head and dorsal osteophytes was performed through a medial approach that also allowed for plantar capsular release and removal of lateral osteophytes. Minimum follow-up was 3 years (average, 63 months; range, 37\u201392 months). Fifty-two patients (68 feet) returned for clinical and radio-graphic evaluation. American Orthopaedic Foot and Ankle Society Hallux Rating scores improved from a preoperative average of 45 to 85 points at follow-up. Average dorsiflexion improved from 19\u00b0, to 39\u00b0, and the average range of motion improved from 34\u00b0 to 64\u00b0. Preoperative radiographic grade of arthritic degeneration was grade I in 17 feet, grade II in 39 feet, and grade III in 12 feet; at follow-up, the radiographic grade was grade I in 2 feet, grade II in 26 feet, and grade III in 40 feet. Thirty-two feet worsened one grade, 6 feet worsened two grades, and 28 feet demonstrated no change (12 of 28 were grade III, preoperatively). A dorsal spur recurred in 21 feet, 9 of which were symptomatic. Complications included two superficial wound infections and four transient paresthesias of the hallux, all of which resolved uneventfully.<\/jats:p>","DOI":"10.1177\/107110079902000302","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:31:12Z","timestamp":1362281472000},"page":"147-152","source":"Crossref","is-referenced-by-count":146,"title":["Intermediate to Long-term Follow-up of Medial-approach Dorsal Cheilectomy for Hallux Rigidus"],"prefix":"10.1177","volume":"20","author":[{"given":"Mark E.","family":"Easley","sequence":"first","affiliation":[{"name":"Carolinas Medical Center, Charlotte, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Hodges","family":"Davis","sequence":"additional","affiliation":[{"name":"Miller Orthopaedic Clinic, Charlotte, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert B.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Miller Orthopaedic Clinic, Charlotte, North Carolina."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1999,3,1]]},"reference":[{"key":"bibr1-107110079902000302","unstructured":"1. DuVries H.L. (ed.): Surgery of the Foot. St. Louis, MO, C.V. Mosby, 1959, pp. 346\u2013421."},{"key":"bibr2-107110079902000302","unstructured":"2. Easley M.E., Anderson R.B.: Hallux rigidus in the adult and adolescent. In Disorders of the Great Toe. Adelaar R. (ed.), Rosemont, IL, 1997, American Academy Orthopaedic Surgeons, pp. 23\u201332."},{"key":"bibr3-107110079902000302","first-page":"315","volume":"1","author":"Gould N.","year":"1981","journal-title":"Hallux rigidus: cheilectomy or implant?"},{"key":"bibr4-107110079902000302","first-page":"182","volume":"226","author":"Hattrup S.J.","year":"1988","journal-title":"Subjective results of hallux rigidus following treatment with cheilectomy"},{"key":"bibr5-107110079902000302","first-page":"349","volume":"15","author":"Kitaoka H.","year":"1994","journal-title":"Clinical rating system forankle-hindfoot, midfoot, hallux, and lesser toes"},{"key":"bibr6-107110079902000302","first-page":"400","volume":"70","author":"Mann R.A.","year":"1988","journal-title":"Hallux rigidus: treatment by cheilectomy"},{"key":"bibr7-107110079902000302","first-page":"57","volume":"14","author":"Mann R.A.","year":"1979","journal-title":"Hallux rigidus: a review of the literature and a method of treatment"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110079902000302","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/107110079902000302","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110079902000302","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:19:05Z","timestamp":1777411145000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110079902000302"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,3]]},"references-count":7,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1999,3]]}},"alternative-id":["10.1177\/107110079902000302"],"URL":"https:\/\/doi.org\/10.1177\/107110079902000302","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,3]]}}}