Problemas de Pie en Español

First MPJ Fusion

Goals

  •  Fuse the joint into one solid bone, with no joint motion.
  • Reduce or eliminate pain associated with the joint.
  • Reduce or eliminate pain associated with any associated bunion.
  • Improve the alignment of the great toe, if required.
  • Reduce the prominence of any associated deformity of the big toe


Possible Alternatives to Surgery

Conservative

  • Orthotics
  • Rocker-soled shoes
  • Pads, Shields, or splints
  • Medications-oral or injected
  • Physical Therapy/ice massage

Surgical

  • Joint resection arthroplasty
  • Joint replacement implant
  • Joint reconstructive surgery

Potential Complications/Risks

Stiffness; Prolonged swelling; Prolonged pain; Delayed healing or non-healing of skin, soft tissue, or bone; Circulation disturbances of skin, soft tissue or bone; Infection of soft tissue or bone; Nerve injury or numbness; Tendon injury or tendonitis; Unsightly or painful scar; Malalignment of the great toe (over-correction/ under-correction); Incomplete relief of pain; Poor toe to ground contact; Shortening of the toe; Shoe irritation of the toe; Contracture of the toe; Arthritis in remaining joint in the toe; Callus or pain under adjacent portion of the ball of the foot; Intolerance of the fixation device; Hematoma or bleeding complication; Change in shoe size; Limited heel height on shoes; Chronic limp or other gait change; Phlebitis; Mild to life threatening reaction to medications and/or anesthesia.

Usual Post-Operative Care/Recovery

Wear a below-knee walking cast and use crutches for six to eight weeks; use elevation, rest, and prescribed medications for pain and swelling control; keep cast dry; sutures are removed in approximately two weeks; fixations pin,  if used, is removed in six weeks; utilize anti-swelling physical therapy for one to six months; return to loose shoes or sneakers in approximately 8 to 12 weeks; return to fashionable shoes in three to four months; return to sedentary activities and/or occupation in one to eight weeks; return to demanding activities and/or occupation in two to four months; possible use of orthoses long-term.

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