Procedure
Cheilectomy
For First MTP Joint Osteoarthritis
What It Involves
A cheilectomy is a joint-preserving procedure in which bone spurs around the first MTP joint are surgically removed. This decompresses the joint, increases the available range of motion, and relieves pain caused by impingement during movement. The underlying joint cartilage is preserved and no implants or screws are required. In the right patient, a cheilectomy may be combined with a closing wedge osteotomy of the proximal phalanx of the great toe (a Moberg osteotomy) to further improve range of motion.
The procedure is performed through a small incision on the top of the foot, under general or regional anaesthesia, and typically takes 30–45 minutes. Results are durable in the majority of appropriately selected patients — the underlying arthritis can progress over time, and some patients ultimately go on to need a fusion, which reflects the natural course of the arthritis rather than a problem with the original surgery.
Recovery Timeline
Everyone heals at a different rate — this timeline is a guide.
Weeks 1–2
Full weight-bearing in a surgical sandal, with the foot elevated to help control swelling. The wound is checked and sutures removed at 2 weeks.
Weeks 2–4
Continuing in the surgical sandal as swelling settles, with gradual increases in daily activity as comfort allows.
Weeks 4–6
Transition into wide, comfortable shoes — a rocker-soled style further reduces strain through the healing joint. Physiotherapy commences for range of motion and strengthening, an important part of recovery after a cheilectomy. Most patients are comfortable in normal footwear by the 6-week review.
3 months
Return to all activities including sport, with a final review and discharge at this stage.