Big Toe Joint Pain Replacement Recovery Time

Big toe joint pain replacement recovery time can be less that a few weeks until you are back into your shoes. Suture recovery generally is not needed due to dissolving stitches. You can then progress into a surgical shoe within the first 2-3 weeks. As long as this is a very supportive shoe.

 

Big Toe Joint Pain Replacement Recovery Time
Big Toe Joint Pain Replacement Recovery Time can be 2-3 weeks until you are back in shoes.

Who performs the big toe joint replacement surgery?

Dr. Tom Biernacki is a podiatrist at our clinic who is well trained and experienced in MTPJ fusions.

Dr. John Stevelinck is a podiatrist at  our clinic who is well trained and experienced in MTPJ fusions.

 

What is a big toe joint replacement?

A first metatarsophalangeal (MTP) joint replacement treats arthritis of the big toe. The arthritis in the joint is excised and it is replaced with an implant similar to a knee or a hip replacement.

 

Is a big toe joint replacement covered by insurance?

Yes if you are found necessary to need this procedure, then it is covered by insurance. Please visit our clinic for evaluation and a pre-authorization can be completed if it is found to be necessary.

 

What are the goals of a big toe joint replacement?

The main goals are to get rid of the pain while still retaining some joint motion.

 

When should I avoid big toe joint replacement surgery?

Usually someone who is very active and young would not be best suited for this procedure due to durability concerns. Diabetics should consult their doctor before this surgery. Those who engage in excessive activity may overload the MTP joint and wear it out, which should be considered before surgery.

 

Big toe joint replacement overview:

An incision is made over the first MTP joint and carried down to the joint. The joint surfaces along with a small amount of bone are removed from the arthritic joint. Bone spurs are removed. The canals of the bones are then opened and the implants are placed. The joint capsule and skin are closed with stitches.

 

Big toe joint replacement surgery technique:

Deformity should be corrected during the surgery, as the implant will fail if this is not corrected. Dr. Biernacki or Dr. Stevelinck will decide the correct choice for you during workup.

 

What happens after big toe joint replacement surgery?

After surgery, a soft dressing of gauze and tape is placed over the toe and foot. The joint is initially immobilized but early motion is started to prevent stiffness. Physical therapy may be utilized to increase motion and strength at the first MTP joint. You should keep the foot elevated as much as possible to reduce swelling. Stitches are usually removed 10 to 15 days after surgery. You will then wear a supportive
shoe.

Big Toe Joint Pain Replacement Recovery Time Surgery Picture
Big Toe Joint Pain Replacement Recovery Time Surgery

 

What are some complications of big toe joint replacement surgery?

With first MTP joint replacement, one of the most frequent complications is silicone synovitis, which can occur if a silicone implant is used. This is caused by small particles of silicone wearing off of the joint replacement implant.

Another complication is failure of the implant and need for further surgery. Other complications include death of the bone due to interruption of the blood supply, infection, pain at the base of the second toe, and delayed wound healing. There can be recurrent deformity, bony overgrowth and disintegration of bone around the implant. Additionally implant displacement, instability of the joint, and injury to the nerves of the big toe can occur.

 

What is the big toe joint replacement recovery time?

Rehabilitation protocols vary from podiatric surgeon to podiatric surgeon.  Generally it can result in resuming walking almost immediately with protection. There may be a brief period of time where you should not put weight on the foot, but in general you will get back to limited walking within a few weeks after your surgery.

When can I return to work?

It depends on the requirements of your occupation and your pain tolerance. When you can tolerate pain without pain medication and you are able to walk without assistive devices, you can return to a sedentary occupation (desk work, etc.). For more physically strenuous occupations, the time until it is safe to return to work will be longer, perhaps as long as 12 weeks. You and your physician decide when it is right for you to return to work.

Can I play sports after first MTP joint replacement?

Strenuous physical activity can lead to early failure. Light activity, such as walking and cycling, can be performed after the initial healing is complete.

Will first MTP joint replacement improve my range of motion?

It is difficult to predict how much motion a patient will regain.it is right for you to return to work.

Can I play sports after first MTP joint replacement?

Strenuous physical activity can lead to early failure. Light activity, such as walking and cycling, can be performed after the initial healing is complete.

Will first MTP joint replacement improve my range of motion?

It is difficult to predict how much motion a patient will regain.

 

Pros and Cons of 1st MTPJ fusions