Big Toe Joint Preservation:

Detached cartilage is removed and remaining bone is debrided or drilled to promote new cartilage growth. Additional joint decompression osteotomy or shortening to prevent joint jamming and increase range of motion. The surgery is performed at an outpatient center or hospital facility with sedation and/or general anesthesia.

HEALING TIMES:

Non weight bearing with a removable cam walker with stabilizing pressure on the heel until the sutures are removed at 2 weeks.

Additional non weight bearing for 2 more weeks, followed by partial weight bearing and gradual return to full weight bearing with a supportive shoe in 4-6 weeks.

Big Toe Joint Replacement:

Big Toe joint Fusion (Arthrodesis): Detached cartilage is removed and remaining bone is debrided or drilled to promote bone fusion (insert fusion plate picture?) with internal plate and screws. This is a permanent procedure although reversal and joint replacement is possible for some fusion patients with poor outcomes. The surgery is performed at an outpatient center or hospital facility with sedation and/or general anesthesia.

HEALING TIMES: Non weight bearing with a removable cam walker with stabilizing pressure on the heel until the sutures are removed at 2 weeks.

Additional non weight bearing for 6 more weeks, followed by partial weight bearing and gradual return to full weight bearing with a supportive shoe in 8-12 weeks.