This procedure is performed in instances where the total first metatarsal phalangeal joint is destroyed, particularly the head of the first metatarsal bone. If the cartilage on the first metatarsal bone is totally eroded and pitted, it cannot be salvaged.
By inserting a total implant you are creating an artificial joint and the goal of this procedure to reduce pain. Although a "new" joint has been implanted, in most cases there will still be limitation of motion to some extent, but hopefully no pain.
The inherent problem with total implants is that if they have to be removed because of infection or rejection of the implant, the surgeon is left with a big space and little options. In these cases the toe bone has to be fused to the metatarsal bone as there are no other options available.
I am not a big fan of first metatarsal-phalangeal joint fusions. The younger the patient and more active the patient, the more problematic the fusion becomes.
The ideal candidate for a complete fusion of the great toe joint is an older, sedentary individual.
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Michael D. Ebeling
Tampa, Florida 33624
Thanks for a most interesting website, which has helped a lot.
I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.
I thank you for putting together this incredible website.
....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!
You have an unusually clear, informative and well-written website for laypersons. Thank you for that.
Mansfield Ctr, CT
First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.
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Pacific Grove, CA
I used to work for a podiatrist (front desk) back during summers in
college years ago, so I know the benefits of good care. Again, I want
to thank you for an EXCELLENT website. It was so great to get to your
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All the best,
By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!
Thank you for your very interesting and informative site!
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