Big Toe Fusion

What is big toe fusion?

Big toe fusion, also known as first metatarsophalangeal (MTP) joint fusion or arthrodesis, is a surgical procedure designed to alleviate pain and restore function to the big toe. This procedure involves the fusion of the bones in the MTP joint, which connects the base of the big toe to the foot. The goal is to eliminate pain and improve stability in the joint by permanently joining the two bones, which can prevent or correct deformities, such as severe arthritis, bunions, or other conditions affecting the big toe.

 

Big toe fusion indications

Big toe fusion may be indicated for a variety of conditions, including:

  • Severe arthritis: Osteoarthritis or rheumatoid arthritis can cause significant pain and loss of function in the big toe joint.
  • Bunions: Advanced bunions that do not respond to non-surgical treatments may require fusion to correct the deformity and alleviate discomfort.
  • Traumatic injuries: Severe fractures or injuries to the big toe joint that do not heal properly may benefit from fusion.
  • Hallux rigidus: A condition characterized by stiffness and pain in the big toe joint, often due to arthritis or degenerative changes.
  • Failed previous surgery: If previous surgical attempts to correct big toe issues have not been successful, fusion might be considered as a next step.

 

How does Dr Abramson perform big toe fusion?

Dr Michael Abramson performs big toe fusion with a focus on precision and patient-centred care. The procedure begins with a comprehensive pre-operative assessment, where Dr Abramson evaluates the patient’s medical history, symptoms, and imaging studies to determine the extent of joint damage and the most appropriate surgical approach. On the day of the surgery, Dr Abramson administers local or general anaesthesia based on the patient’s needs and the complexity of the case. He then makes a precise incision over the first metatarsophalangeal (MTP) joint to access the damaged area.

The damaged cartilage and any bone spurs are removed, and the bones of the big toe are carefully realigned. Dr Abramson employs specialized implants, such as screws or plates, to secure the bones together and ensure proper alignment for optimal fusion. Postoperatively, he provides detailed care instructions, including pain management and rehabilitation exercises, and schedules regular follow-up visits to monitor the healing process. His meticulous approach aims to provide significant pain relief, restore function, and enhance the overall quality of life for his patients.

FAQ’s

Will the big toe fusion affect the appearance of my foot?
There may be some changes in the appearance of your foot due to the fusion, but Dr Abramson will aim to achieve the best functional and cosmetic outcome. The primary goal of the surgery is to relieve pain and improve function, and any aesthetic changes will generally be minimal compared to the benefits of pain relief and improved mobility.
Are there any risks or complications associated with big toe fusion?
As with any surgical procedure, there are potential risks, including infection, bleeding, nonunion (failure of the bones to fuse), and complications related to anaesthesia. Dr Abramson will discuss these risks with you before the surgery and take measures to minimize them.
Will I be able to walk normally after the procedure?
Initially, you will need to use crutches or a walking boot to protect the fused joint and aid in healing. As your recovery progresses, you will gradually be able to bear weight and return to walking normally. Physical therapy and rehabilitation exercises are essential for regaining strength and mobility.