Although 82 percent of the patients were completely satisfied with the result, the implant was not used in patients who wished to maintain very active use of the foot. A dorsiflexion osteotomy of the proximal phalanx is indicated in the unusual situation where there is symptomatic hyperextension of the interphalangeal joint due to a stiff, but pain-free MTP joint. The osteotomy also can be used after a cheilectomy in which adequate dorsiflexion is not obtained. Given the importance of early motion after a cheilectomy, this procedure is not advised at the same time. Moberg reported good short-term results with this procedure on eight patients in 1979.
Radiographs show that in addition to a dorsal osteophyte significant joint destruction is present.