A first metatarsophalangeal (MTP) joint replacement treats arthritis of your big toe. The joint is removed and replaced with metal, plastic or a combination of both. Our primary goal is to lessen pain. Another goal of the surgery is to retain motion and improve the position of your big toe.
Although you may also need great toe replacement after an injury, more often the procedure is performed if you are dealing with the effects of rheumatoid arthritis or osteoarthritis, such as hallux rigidus, which is the growth of bone spurs on the great toe joint due to bones rubbing together. The main symptoms are pain and loss of motion at the joint between the big toe and the foot. We will examine you and take X-rays to determine the extent of your arthritis.
If you are older or have limited demands on your feet and your foot pain is interfering with your daily life—even while you are resting—you may be a good candidate for great toe replacement.
We will perform a physical exam to assess the strength, range of motion, and condition of your great toe. To better understand the damage, we will have X-rays taken of your foot.
Great toe replacement (for severe conditions):
Your deformity should be corrected during the surgery, as the implant will fail if it is not addressed. There are many different types and brands of implants. We will determine the proper one based on our evaluation.
What to expect during recovery:
It may take up to eight weeks for you to be able to regularly bear full weight on the toe.