Podiatry

Big Toe Joint Fusion (First MTP Arthrodesis)

Fusion of the big toe joint to relieve pain and correct deformity.

What is Big Toe Joint Fusion?

First metatarsophalangeal (MTP) joint fusion stabilizes and permanently joins the bones of the big toe joint. It is used for advanced arthritis or severe deformity. Techniques include:

Joint preparation: Removing damaged cartilage and shaping bone surfaces.
Fixation: Plates and screws or a compression screw to hold bones while they fuse.
Alignment correction: Setting toe position for comfortable walking and shoe wear.
Performed under regional or general anesthesia.

What to expect after Big Toe Joint Fusion?

Outpatient surgery with a bulky dressing and protective boot
Limited or heel-only weight-bearing for 4–6 weeks
Gradual progression to full weight-bearing as X‑rays confirm fusion
Swelling for several months; keep foot elevated frequently
Stitches removed at 10–14 days; incision care instructions provided
Return to desk work in 1–2 weeks; more physical work may take 6–8 weeks
Fusion typically completes in 8–12 weeks
Long-term: toe will not bend at the MTP joint but most activities—including walking, hiking, and cycling—are comfortable

Why is it performed?

To relieve pain from hallux rigidus (arthritis)
To correct severe bunion deformity in select cases
To improve push-off strength and stability
To restore function when other treatments fail

Risks and Considerations

Nonunion (bones not fusing) or delayed union
Infection, hardware irritation, or nerve sensitivity
Residual stiffness in adjacent joints
Need for hardware removal (occasionally)

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

FAQs

Will I still be able to run?

Many can jog or hike; sprinting may be limited due to lost toe bend.

Will I fit standard shoes?

Yes—once swelling subsides; roomy toe boxes are helpful.

How long before I can drive?

Usually 2–4 weeks for the right foot; sooner for the left.

Is physical therapy required?

Often helpful for gait training and swelling control.

How long do plates/screws stay in?

Permanently unless they cause irritation.

Podiatry

Doral Health & Wellness Foot & Ankle Department

Doral Health & Wellness Podiatry provides comprehensive foot and ankle care. Our experienced podiatrists offer a range of services, including diagnosis and treatment of foot and ankle conditions, sports injuries, diabetic foot care, and custom orthotics. We are dedicated to helping you achieve optimal foot health and mobility.