Big Toe Arthritis Joint Preserving Surgery in Miami Beach, FL
Minimally Invasive Hallux Rigidus Procedures
- Not all patients with arthritis of the big toe (hallux rigidus) require a fusion to treat the condition. Some patients may be eligible for minimally invasive procedures or open procedures to retain or increase range of motion and to reduce pain.
- Two of the most important procedures are the Cheilectomy and Moberg Osteotomy, and the Interposition Arthroplasty.
- The Cheilectomy/Moberg is a minimally invasive procedure (keyhole surgery) to shave down the arthritis and increase the range of motion. This is most commonly performed in the earlier stages of the disease.
- The interposition arthroplasty is reserved for more severe cases of hallux rigidus. It consists of shaving the arthritic bone and recreating a joint space by using a tendon. The latter will create padding in the joint thus alleviating pain while retaining the range of motion.
- Once the joint has healed, you will be allowed to wear most shoes, including a high heel if desired.
- There are no limits to exercise activities after the surgery, including all sports and running.
Recovery: General Facts
- You are able to walk on the outside of the foot the day after surgery
- You must wear your surgical shoe at all times for 6 weeks
- You may not walk on the bare foot at all even in the house without this shoe
- You may drive as soon as comfortable, usually at 4 days if the left foot and 21 days if the right foot.
- The surgical shoe is worn for 6-8 weeks
- Low impact exercise is allowed at about 2 weeks after surgery in the surgical boot
- Range of motion exercises of the big toe begins at about 2 weeks after surgery
Specific Post-Operative Course
- Foot wrapped in a bulky bandage and surgical shoe
- Ice, elevate, take pain medication as needed
- Blood drainage through bandage is expected
- Do not remove surgical shoe
- Shower allowed
- Keep using surgical shoe
- Start hallux range of motion
- Remove surgical shoe
- Start PT
- A regular shoe may then be worn as comfortable