1st MTP Fusion Surgery for Severe Hallux Rigidus
What Is 1st MTP Fusion (Arthrodesis)?
First MTP joint fusion, or arthrodesis, is a surgical procedure that permanently fuses the bones of the big toe joint, eliminating motion to relieve pain caused by advanced hallux rigidus (big toe arthritis).
This procedure is often recommended when cartilage loss is severe and other treatments, such as cheilectomy, are no longer effective.
Why Consider MTP Joint Fusion Surgery?
Fusion is ideal for patients who:
- Have severe arthritis with complete joint space narrowing
- Experience constant pain and stiffness
- Have bone spurs or joint deformities
- Have not found relief with conservative treatments
While the joint no longer moves after fusion, patients gain long-lasting pain relief and improved function in walking, standing, and wearing shoes.
Benefits of 1st MTP Fusion
- Permanent resolution of arthritis pain
- High success rate and patient satisfaction
- Maintains toe alignment and function
- Allows for return to most daily and low-impact athletic activities
What Happens During and After Fusion Surgery?
- Procedure time: Around 1 hour
- Implants used: A small plate and screws secure the bones while they heal
- Weight-bearing: Usually limited for 6–8 weeks with a boot or post-op shoe
- Recovery: Full recovery may take 3–4 months. Physical therapy is sometimes recommended to strengthen surrounding muscles and gait mechanics.
Will I Be Able to Walk Normally After Fusion?
Yes, while toe bending is eliminated, most patients walk normally after healing. You’ll be able to wear regular shoes and return to activities like walking, hiking, and biking.
When Is Fusion Better Than Cheilectomy?
Fusion is the preferred option for patients with:
- Advanced arthritis or joint collapse
- Prior failed cheilectomy or other surgeries
- Significant bone-on-bone pain
Our foot and ankle team will evaluate your X-rays, lifestyle, and symptoms to recommend the best surgical approach.
Get Relief From Severe Big Toe Arthritis
If you’re living with persistent big toe pain, 1st MTP joint fusion surgery can help restore comfort and stability. Schedule a consultation with our specialists to discuss your treatment options.