Metatarsophalangeal Joint Fusion Surgery

For pesky chronic pain in your big toe, metatarsophalangeal joint fusion surgery might be the solution. The MTP surgery can offer lasting relief by fusing the joint and preventing further pain and deformity. Let us walk you through everything you need to know about MTP joint fusion surgery, from anatomy to recovery.

What Type of Joint Is Metatarsophalangeal?

The metatarsophalangeal joints are the connections between the metatarsal bones (midfoot bones) in your foot and the phalanges, or toe bones. These joints allow your toes to bend and help push your foot off the ground. The most well-known metatarsophalangeal joint is in the big toe, known as the first metatarsophalangeal joint.

So, where exactly is the metatarsophalangeal joint? It’s located where your toes meet the ball of your foot. The big toe joint is crucial for mobility and balance, and issues in this area can lead to significant pain and difficulty walking.

What Causes Metatarsophalangeal Joint Pain?

Several factors can lead to foot metatarsophalangeal joint pain, including:

• Osteoarthritis (cartilage degeneration)
• Rheumatoid arthritis (chronic inflammation)
• Gout (uric acid crystal buildup)
• Bunions (deformities)
• Hallux rigidus (stiffness and reduced toe movement)
• Capsulitis (ligament inflammation)
• Fractures (bone breaks)
• Turf toe (Sprains from hyperextension)
• Continuous joint strain from activities like running.

Diagnosing MTP Joint Pain

Diagnosis involves:

• Physical examination to check for any signs of swelling, tenderness, and range of motion issues.
• Reviewing your medical history
• X-rays and MRIs to detect fractures, arthritis, or soft tissue damage.
• Blood tests for inflammatory markers or uric acid levels

How Do You Prepare for the Big Toe Joint Fusion Surgery?

Metatarsophalangeal joint fusion surgery permanently fuses the bones to eliminate pain and improve stability. Preparing for MTP joint fusion surgery involves several steps. First, our doctor will discuss your medical history and may order the blood tests or images mentioned above to ensure you’re ready for the metatarsophalangeal joint fusion surgery. Then, you’ll need to arrange for someone to help you at home because you won’t be able to walk on the affected foot for a while.

The CPT code for metatarsophalangeal joint fusion is 28750. This code helps in understanding the billing process for the surgery. To prepare properly, you also need to stop certain medications and fasting before surgery if you’re going under general anesthesia.

What Happens During the Big Toe Joint Fusion Surgery?

At Foot + Ankle Specialty Centers, we use the most advanced MTP fusion surgical techniques to prioritize your comfort throughout the surgery. Here’s what you can expect from our metatarsophalangeal joint pain treatment:

1. We use anesthesia to make you feel comfortable during the procedure. We either numb the area or put you to sleep entirely.
2. Our surgeon makes a small, precise incision (cut) over the affected joint to access the damaged area.
3. We carefully remove the damaged cartilage from the joint surfaces. By clearing this cartilage, we create the conditions necessary for the bones to fuse successfully.
4. Then, we align the bones in the correct position using metal screws or plates. These metal tools act as internal braces and hold everything steady during the healing process.
5. After your bones are aligned and secured, we close the incision with stitches. We then bandage your foot to protect the surgical site.
6. After surgery, we will fit you with a boot or cast to keep your foot stable while it heals. We will also give you aftercare tips and instructions.

If you’re also struggling with persistent big toe pain, it’s time to take action. Contact us at Foot + Ankle Specialty Centers in Gilbert, Scottsdale, Chandler, Mesa, and Phoenix to schedule your consultation and take the first step toward lasting relief and improved mobility.

Metatarsophalangeal Joint Fusion Recovery

Recovering from the metatarsophalangeal joint fusion surgery takes time, dedication, and proper care. Here are key aftercare tips to support your recovery:

• Keep your foot elevated as much as possible to reduce swelling and speed up healing.
• Keep weight off your foot for 6 to 8 weeks to allow the bones to fuse properly.
• Wear your cast or boot to stabilize your foot and protect the area from accidental injury.
• Take pain meds to manage discomfort.
• Apply ice packs to reduce swelling.
• Keep the surgery area clean and dry.
• When allowed, start physical therapy to regain strength, flexibility, and balance in your foot.

What is the Recovery Time for an MTP Joint Fusion?

• For about 6 to 8 weeks, you’ll likely need to stay off your foot and use crutches or a walker.
• Over 3 to 6 months, you’ll start putting weight on your foot.
• You can achieve full recovery within 6 to 12 months. During this time, regular follow-up appointments ensure the fusion is successful and healing properly.

Can You Walk Properly After Metatarsal Phalangeal Joint Fusion?

Yes, learning to walk after big toe fusion is possible, but the recovery process is gradual. First, you’ll need to use crutches or a walker to avoid putting weight and pressure on your foot. Over time, as your bones heal and fuse, you’ll regain the ability to walk normally, although you might feel some stiffness in your toe. Most patients report a significant improvement in pain and mobility post-surgery.

Big Toe Joint Fusion Surgery in Arizona

Our team at Foot + Ankle Specialty Centers in Arizona is here to help you get rid of that persistent big toe pain. With 5 locations in Gilbert, Scottsdale, Chandler, Mesa, and Phoenix, we provide personalized care to get you back on your feet. Call us at 480-812-3668 to Schedule a consultation today, and let us help you find relief with MTP joint fusion surgery.

Conclusion

Metatarsophalangeal joint fusion surgery is a highly effective procedure for those suffering from chronic joint pain in the big toe. While the recovery process takes time, the results can significantly improve your quality of life. At Foot + Ankle Specialty Centers, we are committed to guiding you through every step of your journey to recovery.

FAQs

Is toe fusion a major surgery?

Yes, it is considered major surgery, but it is highly effective for treating severe joint pain.

What is the downside of toe fusion?

The main downside is that the joint will no longer bend, which can reduce flexibility in the toe.

Can you break your metatarsophalangeal joint?

Yes, injuries or accidents can lead to fractures in the metatarsophalangeal joint, which might require surgical intervention.