Problemas de Pie en Español

• 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 Replacement Implant Surgery

Implant replacement of the first Metatarsophalangeal joint (great toe joint at the ball of the foot) is performed for an arthritic joint, a painful joint,  an abnormally stiff joint, or when prior surgery on the joint has failed.  The surgery involves removal of the cartilage surfaces of the two bones that make up the joint, and replacing the ends of these bones with an implant system that has stems which are placed into the respective bones.  Two total joint implant types are available.  One is a single component (a hinge and two stems) made of a silicone polymer, and has been used the longest.  The other type includes two separate components made of non-silicone materials (polyethylene and metal).  The long term performances of the two component systems is not well documented.  There is also the option of a single component implant that replaces only one side of the joint. These implants are made of titanium type materials.

Goals

• Attempt to preserve or improve the 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 bunion.

Potential Complications/Risks

Stiffness; Prolonged swelling; Prolonged pain; Delayed healing or non-healing of skin/soft tissue; Circulation disturbance of skin, soft tissue or bone; Infection of soft tissue, implant, or bone; Nerve injury or numbness; Tendon injury or tendonitis; Unsightly or painful scar; Incomplete relief of pain; Malalignment of the great toe (over-correction / Under-correction); Recurrence of toe deformity; Poor toe to ground contact; Shortening of the toe; Weakness of the toe; Callus or pain under adjacent portion of the ball of the foot; Intolerance of the implant (chronic pain, chronic swelling/fibrosis, soft tissue or bone reaction to the implant); Fracture of the bone adjacent to the implant; Implant fatigue failure; Local, distant, or systemic reactions to silicone; Hematoma or bleeding complication; Change in shoe size; Phlebitis; Mild to life threatening reaction to medications and/or anesthesia.  You will need to have antibiotics prior to any dental, bowel, or urinary tract procedure.

Usual Post Operative Care/Recovery

Wear a post-operative surgical shoe and use crutches or other assistive device for 2-8 weeks; use elevation rest, water-tight ice packs, and prescribed medications for pain and swelling control; keep bandages and foot dry until sutures are removed in approximately two weeks; Utilize anti-swelling and anti-stiffness physical therapy for one to six months; return to loose shoes or sneakers in approximately 2 to 8 weeks; return to fashionable shoes in one to four months; return to sedentary activities and/or occupation in one to eight weeks; return to demanding activities and/or occupation in one to four months; possible use of orthotics long-term.