Fusions

fusionAim Of This Article

To provide you with information, to assist you in making an informed choice, whether or not to undergo foot surgery. The condition may be called Hallux Limitus / Rigidus.

Aims Of This Procedure

  • To remove pain from the big toe joint, by removing movement.
  • To remove prominent excess bone.
  • Relief of Great toe pressure on the other toes.
  • There are alternatives, please ask in unsure.

The Procedure

All remaining cartilage is removed from the joint. The joint is realigned back into the correct position and the bone ends held together with some form of fixation, often screws. The joint will be fixed permanently in position.

Approximate procedure time 25 - 60 minutes.

Approximate Recovery Times

Week 0-1 Heel walking only. Rest with your foot elevated.
Week 1-2 Heel walking only. Elevate your foot when possible.
Week 3-6

Swelling should start to subside. Gradual return to non-sporting activities (work) as felt comfortable.  Return to driving in normal shoes when you feel safe.

Week 6-12 Continued improvement. Swelling and stiffness should be subsiding (except the fixed joint). Gentle return to sports may or may not be possible.
Month 6-12 For most people the full benefit of surgery is by now.

Specific Risks Of This Operation

  • Non fusion of bone ends.
  • Fixation movement, requiring removal.
  • Incorrect position of toe.
  • Transfer of pressures and pains to other areas.
  • Shoe fitting problems. Shoe heel height problems.

General Risks Of Surgery

  • Infection minor or major
  • Delayed healing of soft tissues or bone.
  • Swelling, short or long term.
  • Numbness, short or long term.
  • Scar problems, Pain Thickening Discolouration.
  • Chronic (long term) Pain Syndromes.
  • Anaesthetic and medication complications.
  • Damage to Circulation. Haematoma (Bleeding into the skin)
  • Blood clots, DVT and Thrombosis, Heart attack.
  • Failed procedure, Deterioration. Fatality from complications.

Anaesthetics

We specialise in providing Regional Local Anaesthesia. We use injections to numb your foot, so you do not have to be put to sleep.

Going Home

You are able to go home the same day, but you must be driven home and have a responsible adult to stay with you.

Further Information

If you have any questions please ask the team Consultant or a member of the Podiatric Surgical Team during your consultation.

This leaflet should be read in conjunction with Patients Pre-Op Information Booklet available at the practice