{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:36:47Z","timestamp":1777613807020,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with hallux rigidus who do not experience significant pain relief after cheilectomy often require a conversion to metatarsophalangeal (MTP) fusion. However, it is unclear whether the previous cheilectomy affects outcomes of the subsequent fusion. The aim of this study was to compare patient-reported outcomes and complications in patients undergoing MTP fusion for hallux rigidus between patients with a history of cheilectomy and those undergoing a fusion as a primary procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients who underwent MTP fusion who had preoperative and minimum 1-year postoperative Patient Reported Outcomes Measurement Information System (PROMIS) scores. Patients were divided into a \u201cprimary MTP fusion\u201d cohort and a \u201cprior cheilectomy\u201d cohort based on their history of a previous cheilectomy. Preoperative, postoperative, and improvement in PROMIS scores, along with rates of complications including nonunion, infection, interphalangeal (IP) joint pain, and removal of hardware were compared between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The prior cheilectomy group had significantly lower preoperative physical function scores than the primary MTP fusion group ( P &lt; .05). Postoperatively, the prior cheilectomy group had worse physical function ( P &lt; .017) and global physical health ( P &lt; .017) scores. However, there were no significant differences in pre- to postoperative change in PROMIS scores. There were no significant differences in rates of nonunion ( P = .99), infection ( P = .99), or hardware removal ( P = .99). More patients in the prior cheilectomy group had IP joint pain ( P = .034).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study found that a prior cheilectomy may not affect serious complication rates of a subsequent fusion, but it may be associated with worse baseline function. Overall, our results suggest that a prior failed cheilectomy does not influence the amount of improvement in function and pain from MTP fusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114221119740","type":"journal-article","created":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T08:40:01Z","timestamp":1661244001000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Effect of Prior Cheilectomy on Outcomes of First Metatarsophalangeal Joint Fusion for Treatment of Hallux Rigidus"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2530-2956","authenticated-orcid":false,"given":"Lavan","family":"Rajan","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3040-3858","authenticated-orcid":false,"given":"Jaeyoung","family":"Kim","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tonya","family":"An","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rami","family":"Mizher","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syian","family":"Srikumar","sequence":"additional","affiliation":[{"name":"New York Medical College, Valhalla, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3840-4209","authenticated-orcid":false,"given":"Robert","family":"Fuller","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaqi","family":"Zhu","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4304-7445","authenticated-orcid":false,"given":"Scott J.","family":"Ellis","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,8,23]]},"reference":[{"key":"bibr1-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718765225"},{"key":"bibr2-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1938640013484793"},{"key":"bibr3-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720985231"},{"key":"bibr4-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720947380"},{"key":"bibr5-24730114221119740","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200311000-00003"},{"key":"bibr6-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000302"},{"key":"bibr7-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2010.12.003"},{"key":"bibr8-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-019-02528-x"},{"key":"bibr9-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502600904"},{"key":"bibr10-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.02.004"},{"key":"bibr11-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719864354"},{"key":"bibr12-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04807-3"},{"key":"bibr13-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718800304"},{"key":"bibr14-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-3097-1"},{"key":"bibr15-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/10711007211007843"},{"key":"bibr16-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2004.09.005"},{"key":"bibr17-24730114221119740","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v8.i5.364"},{"key":"bibr18-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719897264"},{"key":"bibr19-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2014.12.035"},{"key":"bibr20-24730114221119740","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00904"},{"key":"bibr21-24730114221119740","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200709000-00013"},{"key":"bibr22-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221088822"},{"key":"bibr23-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2010.06.013"},{"key":"bibr24-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1071100719859236"},{"key":"bibr25-24730114221119740","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716682994"}],"container-title":["Foot 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