What is the First MTP Joint?

The first metatarsophalangeal (MTP) joint is located at the base of your big toe. It plays a vital role in walking, running, and balance by allowing your big toe to bend as you push off the ground.

When this joint becomes severely damaged from arthritis, injury, or deformities like hallux rigidus (stiff big toe), it can cause significant pain and limit mobility.

Why is the First MTP Joint Important?

• Enables toe-off motion during walking

• Supports weight distribution across the foot

• Plays a key role in balance and propulsion

• Damage to this joint can lead to chronic pain, limp, and reduced mobility

What is First MTP Joint Fusion?

Fusion surgery (also called arthrodesis) involves removing the damaged cartilage from the joint and permanently joining the bones so they grow together as one solid unit. This relieves pain and stabilizes the toe.

How is the Procedure Done?

1. Minimally invasive incision is made on the top of the toe

2. Damaged cartilage is removed from the joint surfaces

3. Bones are aligned for optimal toe position (usually slightly upward)

4. Bones are fixed in place using advanced low-profile plates and screws

5. Bone healing occurs over time, creating a permanent fusion

Advanced Technologies Used

• Low-profile, titanium plates and screws for secure fixation

• Fluoroscopy guidance during surgery for precision

• Minimally invasive techniques to reduce scarring and speed up recovery

Key Benefits

• Long-term pain relief

• Improved foot alignment

• Restored walking function

• Durable and low-complication procedure