Kaplan Daniel J, Chen Jeffrey S, Colasanti Christopher A, Dankert John F, Kanakamedala Ajay, Hurley Eoghan T, Mercer Nathaniel P, Stone James W, Kennedy John G
NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York, U.S.A.
Medical College of Wisconsin, Milwaukee, Wisconsin, U.S.A.
Arthrosc Tech. 2022 Feb 18;11(3):e385-e390. doi: 10.1016/j.eats.2021.11.005. eCollection 2022 Mar.
Hallux rigidus is a progressive degenerative process of the first metatarsophalangeal joint characterized by altered joint mechanics and formation of dorsal osteophytes. Cheilectomy is the preferred operative intervention at early stages. Technologic advances, patient preference, and cost considerations combine to stimulate the development of minimally invasive and in-office interventions. This Technical Note highlights our technique for needle arthroscopy cheilectomy for hallux rigidus, which can be used either in the operating room or in the wide-awake office setting.
僵硬性拇趾是第一跖趾关节的一种进行性退行性病变，其特征为关节力学改变和背侧骨赘形成。在疾病早期，关节切除术是首选的手术干预方式。技术进步、患者偏好以及成本考量共同推动了微创和门诊手术的发展。本技术说明重点介绍了我们用于治疗僵硬性拇趾的针式关节镜下关节切除术的技术，该技术可在手术室或清醒状态下的门诊环境中使用。
