Chilectomy Of Big Toe

Description

This video tutorial demonstrates a surgical procedure known as chilectomy of the great toe, which is a common operation performed for patients suffering from arthritis in the big toe. The presenter introduces the topic, encourages viewers to subscribe for more educational content, and outlines the aim to provide a step-by-step guide on how to perform the surgery effectively.



The setup involves proper patient positioning on the surgical table, with the foot positioned slightly off the edge to facilitate access during the operation. A tourniquet is applied to minimize blood flow, making visualization during the procedure easier. The speaker discusses the importance of identifying visible deformities and assesses the range of motion, showcasing an X-ray that reveals joint issues including loss of joint space and the presence of osteophytes (bone spurs).



As the tutorial progresses, the presenter demonstrates the marking of the skin incision that will be made to access the joint. The incision is carefully planned at the junction of the dorsal skin and the sole, ensuring minimal trauma. The technique for raising the skin flap is highlighted, emphasizing the need to avoid pinching the skin and instead gently lifting it to protect underlying nerves.



Throughout the procedure, great care is taken to identify and protect superficial nerves to prevent post-surgical complications such as painful neuromas and numbness. The tutorial progresses with the surgeon carefully cutting through the skin and raising the flap to expose the metacarpal phalangeal joint capsule. Finally, the speaker reassures viewers about the straightforward nature of the next steps involving careful dissection close to the bone.

DOI: 10.1302/3114-221856

Specialties