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Re: anyone ever have fusion of big toe (MTP) joint
Posted by Carolyn1016
5/13/2013  1:40:00 PM
I am so glad I decided against the fusion and found a doctor who did a hemi-implant that has been in use successfully for 50 years. We can always fuse as a last resort, but I am so grateful that I won't be losing the flexibility. I had the surgery on May 2 and the cast removed today -- and I am walking in my regular walking NIkes this afternoon! I am hopeful that it will heal well and I'll be dancing again in a few months! Thanks for your thoughts and good luck! Hopefully you won't need to see your doctor for anything more drastic for a long time.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by novemberecho
5/16/2013  9:27:00 AM
that is great news!! Hope you are back to dancing in no time!
Re: anyone ever have fusion of big toe (MTP) joint
Posted by Nita
10/26/2013  6:09:00 PM
I had this done 4 years ago due to a bunion between my big and 2nd toes. I hope you have not done this - it has created a gait pattern that has since caused back and neck problems and I can only wear shoes that have a rocker effect to replace the dorsiflexion that I lost. I have a neice who just had a big toe joint replacement. If that had been offered, I would have gone that route.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by Sherry Leonard
11/26/2013  9:07:00 AM
I had a big toe joint fusion in 2009. Is it possible to go back in and have a big toe joint replacement after a big toe joint fusion. And if it is, what is best DR to do it?
Re: anyone ever have fusion of big toe (MTP) joint
Posted by Ruth Kersley
1/24/2014  4:23:00 PM
I have had endless problems after the fusion of my big toe 4 years ago. The main problem is lack of mobility and needing to wear rocker type shoes all the time. If I had known the downside truly I would never have gone ahead as the pain I get trying to wear normal shoes - even totally flat sensible walking shoes are uncomfortable. At the time I was told I would not be able to wear heels above a certain height but that just isn't true - no normal shoes feel right and dancing is painful except in mbt type shoes. I was told by a podiatric surgeon (Steve Kriss) that this could be reversed and I could have joint replacement surgery - am very nervous to have more surgery in case it fails and creates more problems. Also the established orthopaedic surgeon's attitude is extreme scepticism. What have you done so far?
Re: anyone ever have fusion of big toe (MTP) joint
Posted by terence2
10/27/2013  5:16:00 AM
The socket in my big toe, wore out yrs ago. Hyper-extended gives me a lot of sharp pain.

I was given 3 options.. Cortisone injections ( which do not last very long ) Surgery, and or, Live with it.. I chose the latter
Re: anyone ever have fusion of big toe (MTP) joint
Posted by O.K.
11/26/2013  9:21:00 PM
Those of you who have this problem . It is most unfortunate. The joint where your big toe meets the ball of the foot is, and should be, the most used joint within your whole body when dancing. To not use that joint means you are dancing from a flat foot without rolling onto the toe. To dance at a competitive level it is absolutely necessary that the correct technique be used.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by 40 year old previous dancer - fusion
5/14/2014  5:34:00 AM
All the research I did warned (orthopaedics obviously and podiatrists) that the gold standard for arthritis for anyone active or young is fusion as all implants fail - longest life 10 years and many fail within 2-5 if you are very active. Plus it still causes mechanical issues with the gait and strange compensations the foot does just like with a fusion, so it sounds wonderful but it must be shown to work on active people for many years before you can trust the results. I was horrified with my issue because I went in for a bone spur cleaning and came out with a fusion - because there was "zero cartilage" left - but I, like many on this site, would have chosent to "live with it" - I only agreed to any surgery at all because it was the attempt to clean it up to give more life to the joint. There is no data on "active" yound people who get fusions after 2 years. There is all this information on how they can "run half marathons" which at first gave me hope but I have since had a PT wanr me that any activity will destroy all the other toes and joints in the foot after a fusion - so I am begging for any source of info on these "runners" post fusion after year 10, 15, 25 etd - who cares about year 1-3, you can do anything for a couple years but that proves nothing abut longevity. Does anyone have any 10-30 year post fusion activity stories? Right now I can wear heels, run, raise up on the ball of my foot (8 months post op) BUT I won't do it any longer because of my new fear that over time this is going to cause all the rest of my foot to fall apart.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by novemberecho
5/16/2014  9:33:00 AM
Posted by 40 year old previous dancer - fusion--

That is mortifying! I assume you must have (maybe unknowingly) signed something prior to surgery allowing the surgeon to make that call while you were under(?) Otherwise it seems like you might have a legitimate lawsuit against him.
I'm glad I read this anyway; *IF* I ever opt to have surgery I will require my surgeon to put in writing that he will NOT fuse my joint under any circumstances.
I'm so sorry that happened to you.
I still research this issue online occasionally; I have found little information as far as personal accounts of various MTP-related surgeries from athletes, and even less info specific to dancers. Suprising since the problem does not seem uncommon. Will keep looking though.
Re: anyone ever have fusion of big toe (MTP) joint
Posted by newsdiane
12/3/2014  10:13:00 PM
Does anyone have any experience with an artificial joint for the big toe? That's what my doctor is recommending since I refused the option of fusion. I am under the impression that I'll be able to continue dancing about a month after the implant surgery. If you have an implant, how much mobility do you have in your toe?

A little bit about my toe trouble: There's no cartilage left in the joint. I had hallux rigidus (arthritis of the big toe joint with a bone spur). Seven months ago, I had a cheilectomy and osteotomy, (cleaning out of the joint and shortening of the big toe). But the bone has deteriorated, presumably due to arthritis.

If anyone is going through something similar, I'd be very interested to hear about it. Thanks!

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