- Artritis Reumatoide en el Pie y Tobillo
- Biopsia de Tejida Blando
- Buniones (Juanete)
- Coalición Tarsal
- Complicaciones Diabéticas y Prevención de Amputaciones
- Curación de Los Huesos
- Dedo Cruzado
- Dedo en Martillo
- Deformidad de Haglund
- Diabeticas: Estatisticas Alarmantes
- Disfunción de Tendón Tibial Posterior
- Dolor de Talón
- Dolor de Talón Infantil
- Ejercicios de Elongación
- El Dolor Crónico de Tobillo Lateral
- Enfermedad Vascular Periferica (PAD)
- Equinismo
- Esguince de Tobillo
- Fibroma Plantar
- Fractura de Estrés
- Fracturas de Los Dedos Del Pie
- Fracturas de Tobillo
- Fracturas del Calcáneo (Fracturas del Hueso del Talón)
- Fracturas del Quinto Metatarsiano
- Gota
- Hallux Rigidus
- Heridas Por Punción
- Inestabilidad Crónica de Tobillo
- Inicio de Drenaje Siguiendo Los Pasos de Absceso Infectado
- Inflamación Aguda
- Instrucciones par el Cuidado de Heridas
- Instrucciones Para Muletas
- Juanetes de Sastre
- Lesión del Domo Talar
- Lesiones de Lisfranc
- Lesiones del Tendón Peroneo
- Lesiones en un Hueso Sesamoideo del Pie
- Melanoma Maligno del Pie
- Necesito un Examen Para PAD?
- Neuroma de Morton
- Neuropatía Diabética Periférica
- Osteoartritis del Pie y el Tobillo
- Pie Cavo (Pie de Arco Alto)
- Pie de Atleta
- Pie de Charcot
- Pie Diabético
- Pie Plano Flexible
- Pie Plano Pediátrico
- Que Usted Espera con el Tratamiento de Acido par Alas Verrugas
- Que Usted Espera Por Las Inyecciones de Esteriodes
- Quiste de Ganglio
- Ruptura del Tendón de Aquiles
- Síndrome del Hueso Trigono
- Síndrome del Navicular Accesorio
- Síndrome del Túnel Tarsiano
- Tendinitis de Aquiles
- Terapia con Onda de Choque Extracorporea (ESWT)
- Trastornos Comunes del Tendón de Aquiles
- Trombosis Venosa Profunda
- Uña Encarnada del Dedo del Pie
- Uña Infectada Por Hongos
- Verruga Plantar (Verruca Plantaris)
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.















