Cheilectomy vs. arthrodesis surgery

(2 discussions)

I’ve seen two different orthopaedic surgeons. One seems to thinks the cartilage in my right big toe is “shot” and recommends arthodesis (bone fusion) surgery. The other says he’s fairly certain that the cheilectomy is the better option since my range of mobility is fairly good right now. He also mentioned that if he gets in there and finds otherwise, he may have to perform an arthodesis.
In 1996, I had a “titanic” implant placed in my right big toe for the same symptom (pain). Recent X-rays suggests so far, so good.
I’m not sure what I should do. I know the arthodesis surgery is more complicated and recovery is longer. But, I don’t want to go cheilectomy route only to ultimately have to get arthodesis surgery later on. Please advise.
Thank you!


    Vivian Abrams DPM

    9 10

    As you have probably figured out, surgery is an art and opinions can vary even among doctors. The arthrodesis is a final procedure. If the cartilage is “shot” then if the surgeon is skilled at using implants then that is a possibility also. As far as any other procedures, this is a call made on range of motion, bone stock, age, health, activity level, etc.Your decision should be made on who you feel most comfortable with. You can always get another opinion, if you feel undecided. Good luck.


    9 10

    The problem I’m having now is my left big toe. I had surgery (titanium implant) in 1996 on my right big toe.


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