Your Big Toe Specialist
Fellowship-trained surgeon expert in corrective foot surgery and joint fusion
For severe big toe arthritis, First MTP joint fusion addresses the source of pain while providing a stable foundation for active walking—designed for long-term durability.
Hallux rigidus, or severe arthritis of the big toe joint, can make every step painful. When the protective cartilage is gone and bone-on-bone friction occurs, joint mobility is lost and replaced by chronic inflammation and bone spurs.
First MTP joint fusion is intended to address this painful motion. By fusing the joint in a precise, functional position, the procedure allows you to roll over your foot during a stride without the sharp "catch" of an arthritic joint. It is a highly reliable procedure with extremely high patient satisfaction rates.
We utilize specialized titanium plating systems designed to be exceptionally strong yet barely felt beneath the skin
Modern plates are pre-contoured to match the anatomy of the first metatarsal. This allows for a "low-profile" fit that minimizes irritation from shoes while providing enough strength to allow for earlier weight-bearing.
A specialized screw is often used across the joint to provide maximal compression. This compression is intended to speed up the bone-to-bone fusion process and ensure a solid biological union.
Fellowship-trained surgeon expert in corrective foot surgery and joint fusion
First MTP joint fusion (big toe fusion) is a surgical procedure that joins the bones of the big toe joint together. This is intended to stop painful motion in a joint that has been destroyed by severe arthritis (hallux rigidus) or significant deformity, providing a durable and stable result.
Fusion is typically the treatment of choice for end-stage hallux rigidus where the joint cartilage is completely worn away. Unlike joint replacement or 'clean-up' surgeries (cheilectomy), fusion offers the most predictable and long-lasting relief for patients with severe pain.
The joint is fused in a slightly upward position to allow your foot to 'roll' naturally during walking. Most patients find that their gait actually improves because they no longer have to compensate for joint pain. You can continue to walk, hike, and even perform light running.
Because the joint no longer bends, very high heels (above 1-2 inches) are generally not recommended as they place too much stress on the fusion site. However, most patients can wear formal shoes, sneakers, and comfortable flats without issue.
Patients typically use a specialized surgical shoe for 6-8 weeks to allow the bones to grow together. Full weight-bearing in regular sneakers usually begins around 2 months post-op, with full swelling resolution taking 4-6 months.
No referral is required. You can book a consultation directly with our surgical team to have your big toe evaluated and discuss whether fusion is the right option for your condition.
Schedule a consultation to discuss your big toe pain and explore whether First MTP joint fusion is the right long-term solution for you.
