Procedure Explorer
Forefoot
First MTP Fusion
- Problem being treated
- End-stage hallux rigidus, severe hallux valgus, or salvage after failed surgery.
- Relevant anatomy
- First metatarsophalangeal joint.
- Surgical concept
- Remove the joint surfaces and fuse the big toe joint in a functional position.
- Indications
- Advanced hallux rigidus
- Inflammatory arthritis
- Failed prior surgery
- Common alternatives
- Cheilectomy
- Interpositional arthroplasty
- Rocker footwear
- Recovery concept
- Heel or protected weight-bearing, then shoe transition over weeks to months.
- Risks
- Nonunion
- Malposition
- Interphalangeal joint arthritis
- Evidence
- Moderate Evidence
Established salvage procedure with high fusion rates reported in many series.
- Technology involved
- Dorsal locking platesCompression screwsCup-and-cone reamers
Podiatrify provides educational information and risk guidance and does not provide a medical diagnosis. Symptoms involving severe pain, rapidly spreading infection, black or blue tissue, major trauma, loss of circulation, or systemic illness may require urgent medical evaluation.