What Is the First MTP Joint?

The First Metatarsophalangeal (MTP) Joint is where your big toe meets your foot. It plays a critical role in walking, balance, and push-off strength. When this joint becomes stiff, painful, or arthritic—a condition called hallux rigidus—it can limit mobility and affect daily activities.

Why Is This Joint So Important?

• Supports 40-60% of body weight during walking

• Enables the push-off motion needed for steps, running, and balance

• Dysfunction can cause pain, limping, and other joint issues

What Is a Cheilectomy?

A cheilectomy is a surgical procedure to remove bone spurs and clean up arthritic debris around the first MTP joint. This relieves pain and improves motion in the big toe.

How Is It Performed?

✅ Minimally Invasive Techniques

Today’s cheilectomies are often done through small incisions with advanced surgical tools, resulting in:

• Less tissue damage

• Faster recovery

• Minimal scarring

Advanced Imaging

Surgeons use fluoroscopy or intraoperative imaging to precisely target bone spurs and ensure joint surfaces are preserved.

Step-by-Step:

1. A small incision is made over the top of the big toe joint.

2. Bone spurs and arthritic growths are carefully removed.

3. The joint is smoothed and tested for improved motion.

4. The incision is closed with absorbable sutures or skin glue.

What to Expect After Surgery

• Same-day discharge in most cases

• Protected weight-bearing in a surgical shoe for 2–3 weeks

• Gradual return to normal walking and light exercise

• Physical therapy may be recommended for best results

Benefits of First MTP Cheilectomy

✅ Pain relief
✅ Improved toe motion
✅ Faster recovery with modern techniques
✅ Can delay or prevent the need for joint fusion or replacement

If you suffer from big toe stiffness or pain, a First MTP Cheilectomy may be the solution to restore motion and comfort.