1st MTPJ Fusion

Reversal of an arthrodesis in the first metatarsal-phalangeal joint by total implant

There are several reasons to undergo this operation, the main reason is to stop the pain in the big toe. This pain can be caused by rheumatoid, osteoarthritis, or by a large bunion that has not been operated on properly. Another type of pain may be because the big toe is deformed and rubbing against the shoes causes unbearable pain.

If you decide to undergo this type of operation, you should know that it is a quick and simple operation. When you talk to the surgeon, you can ask all the questions you have and then face the operation calmly.

What does the operation consist of?

In your previous appointment with the surgeon you can determine if you prefer local, regional or general anesthesia. The surgeon will make an incision in the deformed part so you can restore the defective joint using a bone screw to hold the joints of the big toe together. After fifteen days the surgeon will check the wounds to make the appropriate cures.

Operation risk

As with all procedures, this carries some risks and complications.

Common

• Pain: The operation involves moving the tissues which leads to pain, to relieve these pains can talk to your surgeon for analgesics.
• Bleeding: There will inevitably be some bleeding.
• Scar: The operation will leave a small scar on the side of the big toe.
• Infection: There may be redness in the area where the operation was performed after the operation, or there may be an area with discharge. It may be necessary to take antibiotics to treat these infections.
• Stiffness of the joint: This situation may occur after the operation, it may be that the curve of the finger is smaller but painless.
• Weak force on the tip of the foot: After the operation you may notice that the joint of the big toe is unstable, this is because the operation can damage the ligaments and tendons.

Rare

• Delayed Union: In spite of the fixation, the bones may not unite correctly, which may require a second operation.
• Hypertrophic Scar: These scars are exaggerated growths of the tissue where the scar has been performed. They can be treated with steroid injection or surgically if necessary.
• Delayed wound healing: This may occur if the wound is under tension, infected, or has poor blood circulation.
• Recurrent deformity: After the operation the deformity may return despite rectification.
• Fracture: Bones may break easily, as they begin to recover they are weak and may break again. This can be very painful and will need to be intervened.
• Scratch on the toe: Rubbing against the shoe can cause scratches on the big toe.