Shortening, Percutaneous, Intra-articular, Chevron Osteotomy for the Treatment of Hallux Rigidus: An Anatomical Feasibility and Risk Assessment in Cadavers.

ABSTRACT:

Background

Hallux rigidus is a degenerative condition affecting the first metatarsophalangeal joint. Depending on symptoms, treatment options for symptomatic hallux rigidus include joint resection (such as arthrodesis or arthroplasty) or joint-preserving procedures (like cheilectomy or osteotomies). We present a shortening percutaneous, intra-articular, chevron osteotomy (S-PeICO) technique, which is a modification of the percutaneous intra-articular chevron osteotomy (PeICO) technique previously used to treat hallux valgus. The purpose is to evaluate iatrogenic neurovascular and tendon damage, as well as the accuracy of the osteotomy, including angulation and completion.

Methods

Twelve fresh-frozen below-the-knee cadaveric specimens were used in this study and diagnosed wit

SUBMITTER: Dealbera ED 

PROVIDER: S-EPMC12852598 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature