First MTP Joint Fusion
First MTP fusion is the gold-standard surgery for advanced big toe arthritis. It eliminates joint pain reliably and allows most patients to walk and exercise comfortably.
Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon
Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors
- Advanced hallux rigidus
- Severe bunion with arthritis
- Failed prior surgery
Joint surfaces are prepared and fused with a plate and screws in the optimal position for walking.
- Protected weightbearing in a surgical boot within 1–2 weeks
- Boot 6–8 weeks
- Regular shoes 8–12 weeks
- Full activity 3–6 months
- Nonunion
- Malunion
- Hardware irritation
- Adjacent joint arthritis
Conditions this procedure treats
Hallux Rigidus (Big Toe Arthritis)
Hallux rigidus is arthritis of the great toe joint. The joint becomes stiff and painful, and bone spurs form on top of the joint, limiting upward motion of the big toe.
Learn moreBunion (Hallux Valgus)
A bunion is a progressive deformity of the great toe joint where the big toe drifts toward the second toe and a bump forms on the inside of the foot. It is one of the most common forefoot conditions we treat.
Learn moreFrequently asked questions
Will I be able to wear heels?
Low heels yes; very high heels are difficult after fusion.
Can I run?
Yes — most patients return to recreational running and hiking comfortably.
Request a surgical consultation
Tell us a little about what's going on — our team will follow up to schedule.
Ready to Get Relief?
Call Foot Health Centers to schedule your visit in Hernando or Southaven.